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General NPI Number Information
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NPI Number | 1174815948
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Entity Type | Organization
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Legal Business Name | AGUADA MEDICAL CENTER INC.
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | CARRETERA 115 KILOMETRO 24.5 BARRIO ASOMANTE
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-589-7433
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Fax | 787-589-7434
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Provider Business Mailing Address
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Address Line | PO BOX 90
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City | AGUADA
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State | PR
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Zip | 00602-0090
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Country | US
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Telephone | 787-868-0345
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Fax | 787-868-0345
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Authorized Official
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Title or Position | DIRECTOR MEDICO
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Name | DR. HIRAM J ORTEGA
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Credential | MD
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Telephone | 787-589-7433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | PR
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