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General NPI Number Information
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NPI Number | 1205094752
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Entity Type | Organization
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Legal Business Name | DRA NALIX GARCIA CATALAN PSC
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | PMB 151 100 GRAND PASEO BLVD SUITE 112
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City | SAN JUAN
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State | PR
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Zip | 00926-5902
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Country | US
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Telephone | 787-768-9400
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Fax | 787-768-9440
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Provider Business Mailing Address
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Address Line | 111-51 CALLE 80 #51
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City | CAROLINA
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State | PR
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Zip | 00985-4107
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Country | US
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Telephone | 787-768-9400
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Fax | 787-768-9440
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RICARDO LOZADA SANTANA
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Credential |
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Telephone | 787-768-9400
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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 | 13915
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License Number State | PR
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