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General NPI Number Information
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NPI Number | 1174442982
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Entity Type | Organization
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Legal Business Name | BROAD SPECTRUM HEALTH LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 410 AVE HOSTOS
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City | MAYAGUEZ
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State | PR
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Zip | 00682-1560
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Country | US
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Telephone | 787-652-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 CALLE LAS PALMERAS
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City | CABO ROJO
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State | PR
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Zip | 00623-4246
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIANA ROLAN OTERO
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Credential | MD
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Telephone | 702-481-8087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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