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General NPI Number Information
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NPI Number | 1174895726
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Entity Type | Organization
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Legal Business Name | ITURREGUI REHAB CENTER CSP
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Dates
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Enumeration Date | 01/29/2012
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Last Update Date | 02/11/2014
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Provider Practice Location Address
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Address Line | SANTURCE MEDICAL MALL AVE PONCE DE LEON 1801 SUITE 312
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City | SAN JUAN
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State | PR
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Zip | 00909-0000
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Country | US
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Telephone | 787-757-2146
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Fax | 787-757-2146
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Provider Business Mailing Address
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Address Line | PO BOX 2809
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City | BAYAMON
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State | PR
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Zip | 00960-2809
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Country | US
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Telephone | 787-757-2146
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Fax | 787-757-2146
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MILAGROS OTERO
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Credential | P.T.
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Telephone | 787-757-2146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 730
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License Number State | NY
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