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General NPI Number Information
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NPI Number | 1225182298
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Entity Type | Organization
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Legal Business Name | CAMUY X RAY & ULTRASOUND CENTER, PSC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 152 AVE MUNOZ RIVERA OESTE
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City | CAMUY
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State | PR
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Zip | 00627-2309
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Country | US
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Telephone | 787-820-2122
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Fax | 787-820-2105
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Provider Business Mailing Address
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Address Line | 45 URB VISTA VERDE
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City | CAMUY
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State | PR
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Zip | 00627-3302
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Country | US
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Telephone | 787-820-2122
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Fax | 787-820-2105
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. HILDA L. LOPEZ
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Credential | MD
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Telephone | 787-820-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 007078
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License Number State | PR
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