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General NPI Number Information
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NPI Number | 1174338792
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Entity Type | Organization
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Legal Business Name | UTUADO HEALTH HOSPITAL CORP
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 500 CALLE DR ISAAC GONZALEZ
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City | UTUADO
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State | PR
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Zip | 00641-2635
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Country | US
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Telephone | 787-896-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 59 CALLE B
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City | CAMUY
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State | PR
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Zip | 00627-2343
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Country | US
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Telephone | 787-484-8273
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADOR
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Name | JIMMY OLIVERA
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Credential | MBA, CHP, CHA, CMA
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Telephone | 787-484-8273
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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