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General NPI Number Information
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NPI Number | 1154695666
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Entity Type | Organization
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Legal Business Name | CENTRO DE REHABILITACION Y TERAPIA FISICA EL-RAPHA INC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | CARR 474 KM 0.3
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City | ISABELA
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State | PR
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Zip | 00662-3965
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Country | US
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Telephone | 787-222-0299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1731
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City | ISABELA
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State | PR
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Zip | 00662-1731
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Country | US
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Telephone | 787-222-0299
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | IVIS LOPEZ
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Credential |
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Telephone | 787-222-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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