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General NPI Number Information
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NPI Number | 1215282843
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Entity Type | Organization
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Legal Business Name | GRUPO PRIMARIO TORRES-RODRIGUEZ C.S.P.
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | KM 10.6 CARR 123 BO MAGUEYES
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City | PONCE
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State | PR
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Zip | 00728
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Country | US
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Telephone | 787-284-3400
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Fax | 787-841-4092
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Provider Business Mailing Address
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Address Line | PO BOX 800652
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City | COTO LAUREL
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State | PR
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Zip | 00780-0652
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Country | US
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Telephone | 787-284-3400
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Fax | 787-284-3400
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS E TORRES
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Credential | MD
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Telephone | 787-284-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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