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General NPI Number Information
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NPI Number | 1174705040
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Entity Type | Organization
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Legal Business Name | CORPORACION PUERTORRIQUENA DE SALUD INTEGRAL
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 137 CALLE DR CUETO
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City | UTUADO
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State | PR
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Zip | 00641-2861
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Country | US
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Telephone | 787-637-0822
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Fax | 787-650-2835
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Provider Business Mailing Address
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Address Line | 52 CALLE MCKINLEY
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City | MANATI
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State | PR
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Zip | 00674-5200
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Country | US
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Telephone | 787-637-0822
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Fax | 787-650-2835
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ROBERTO YAMIL ABREU
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Credential | M.D.
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Telephone | 787-547-1382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 16579
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License Number State | PR
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