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General NPI Number Information
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NPI Number | 1205929791
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Entity Type | Organization
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Legal Business Name | CARDIOMAX CORP
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/02/2009
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Provider Practice Location Address
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Address Line | CDT PLAZA DE SALUD SANOS OFICINA 101 103 AVENIDA RAFAEL CORDERO CALLE TROCHE
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-648-0127
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Fax | 787-653-6089
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Provider Business Mailing Address
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Address Line | 1357 AVE ASHFORD # 281
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City | CONDADO
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State | PR
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Zip | 00907-1400
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Country | US
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Telephone | 787-648-0127
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Fax | 787-653-6089
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Authorized Official
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Title or Position | OFICIAL
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Name | MR. RAMIRO MADRINAN
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Credential |
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Telephone | 787-648-0127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0084975
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License Number State | PR
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