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General NPI Number Information
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NPI Number | 1174522411
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Entity Type | Organization
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Legal Business Name | METROPOLITAN MRI ASSOCIATES PSC
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 2 CARR 21 URB. LAS LOMAS
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City | SAN JUAN
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State | PR
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Zip | 00921-4517
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Country | US
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Telephone | 787-781-0058
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Fax | 787-782-9971
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Provider Business Mailing Address
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Address Line | PMB 346 405 ESMERALDA AVE SUITE 2
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-781-0058
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Fax | 787-782-9971
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VILMA M VARGAS
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Credential | M.D.
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Telephone | 787-781-0058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 13249
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 12455
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License Number State | PR
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