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General NPI Number Information
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NPI Number | 1154577039
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Entity Type | Organization
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Legal Business Name | CARIBBEAN RADIOLOGY MANAGEMENT
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | HOSPITAL ONCOLOGICO DR. ISAAC GONZALEZ MARTINEZ
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City | SAN JUAN
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State | PR
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Zip | 00919-1811
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Country | US
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Telephone | 787-674-1206
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 CARR 8177 SUITE 26 PMB 229
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City | GUAYNABO
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State | PR
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Zip | 00966-3733
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Country | US
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Telephone | 787-674-1206
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MIGUEL ANZALOTA
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Credential | M.D.
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Telephone | 787-674-1206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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