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General NPI Number Information
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NPI Number | 1184066144
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Entity Type | Organization
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Legal Business Name | HOSPITAL AUXILIO MUTUO
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 37.5 AVE PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00919-1227
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Country | US
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Telephone | 787-758-2000
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Fax |
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Provider Business Mailing Address
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Address Line | BE12 PLAZA 10 BOSQUE DEL LAGO
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-6044
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Country | US
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Telephone | 787-605-7698
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. FRANCISCO DIAZ LOZADA
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Credential | MD
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Telephone | 787-758-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 15215-I
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License Number State | PR
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