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General NPI Number Information
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NPI Number | 1164711602
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Entity Type | Organization
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Legal Business Name | HOSPITAL UPR
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 1155 BRICKELL BAY DR APARTMENT 403
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City | MIAMI
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State | FL
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Zip | 33131-2983
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Country | US
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Telephone | 787-238-7736
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 BRICKELL BAY DR APARTMENT 403
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City | MIAMI
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State | FL
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Zip | 33131-2983
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Country | US
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Telephone | 787-238-7736
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Fax |
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Authorized Official
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Title or Position | PGY 1
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Name | JAVIER BAEZ
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Credential |
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Telephone | 787-238-7736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 17878
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License Number State | PR
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