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General NPI Number Information
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NPI Number | 1174937445
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Entity Type | Organization
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Legal Business Name | DR. LUIS FLORES CABAN (HEMATOLOGO ONCOLOGO) CSP
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | AVE PONCE DE LEON # 371
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City | SAN JUAN
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State | PR
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Zip | 00918-1000
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Country | US
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Telephone | 787-296-8394
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Fax | 888-800-4139
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Provider Business Mailing Address
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Address Line | PMB 251 B5 CALLE TABONUCO SUITE 216
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City | GUAYNABO
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State | PR
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Zip | 00968-3029
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Country | US
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Telephone | 787-296-8394
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Fax | 888-800-4139
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS D FLORES-CABAN
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Credential | M.D.
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Telephone | 787-612-4414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 13480
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License Number State | PR
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