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General NPI Number Information
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NPI Number | 1154093706
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Entity Type | Organization
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Legal Business Name | CLINICA TODO SALUD - AIBONITO LLC
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | CARR 848 INT 887 CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00984
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Country | US
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Telephone | 787-523-2458
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71114
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City | SAN JUAN
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State | PR
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Zip | 00936-8014
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Country | US
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Telephone | 787-622-3000
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Fax | 787-620-5379
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Authorized Official
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Title or Position | VP OF CLINICS
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Name | MARCOS AGUILA SASTRE
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Credential | MHSA
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Telephone | 787-622-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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