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General NPI Number Information
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NPI Number | 1164435608
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Entity Type | Organization
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Legal Business Name | RADIOLOGY SUPPORTING SERVICES
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16 PARQUE TIVOLI PASEO DEL PARQUE
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City | SAN JUAN
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State | PR
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Zip | 00926-6500
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Country | US
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Telephone | 787-748-8729
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Fax | 787-760-2021
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Provider Business Mailing Address
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Address Line | 16 PARQUE TIVOLI PASEO DEL PARQUE
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City | SAN JUAN
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State | PR
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Zip | 00926-6500
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Country | US
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Telephone | 787-748-8729
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Fax | 787-760-2021
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERTO RODRIGUEZ VELEZ
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Credential | M.D.
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Telephone | 787-748-8729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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