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General NPI Number Information
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NPI Number | 1154637155
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Entity Type | Organization
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Legal Business Name | DR. REINALDO RODRIGUEZ LUGO, PSC
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 1245 AVE MUNOZ RIVERA
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City | PONCE
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State | PR
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Zip | 00717-0634
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Country | US
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Telephone | 787-284-3616
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Fax | 787-284-3616
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Provider Business Mailing Address
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Address Line | 609 AVE TITO CASTRO STE 102 PMB 150
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City | PONCE
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State | PR
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Zip | 00716-0200
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Country | US
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Telephone | 787-284-3616
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Fax | 787-284-3616
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Authorized Official
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Title or Position | OWNER
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Name | DR. REINALDO RODRIGUEZ LUGO
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Credential | MD
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Telephone | 787-284-3616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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