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General NPI Number Information
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NPI Number | 1215390562
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Entity Type | Organization
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Legal Business Name | CENTRO SERVICIOS DE SALUD TOA ALTA
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | CARR. 861 INT. 829 KM 5.8 BO. PINAS
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-230-7190
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Fax |
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Provider Business Mailing Address
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Address Line | IF 48 AVE LOMAS VERDES ROYAL PALM
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City | BAYAMON
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State | PR
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Zip | 00956-3114
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Country | US
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Telephone | 787-520-8449
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEC RIVERA
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Credential | MD
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Telephone | 787-230-7190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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