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General NPI Number Information
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NPI Number | 1144413238
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Entity Type | Organization
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Legal Business Name | LUIS E CHINEA MD PSC
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | PONCE DE LEON AVE 1801 SANTURCE MED SUITE 210
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City | SAN JUAN
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State | PR
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Zip | 00909-1917
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Country | US
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Telephone | 787-727-3060
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Fax | 787-268-5921
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Provider Business Mailing Address
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Address Line | PONCE DE LEON AVE 1801 SUITE 210
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City | SANTURCE
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-727-3060
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Fax | 787-268-5921
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Authorized Official
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Title or Position | MEDICO
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Name | LUIS CHINEA
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Credential |
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Telephone | 787-727-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 11215
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License Number State | PR
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