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General NPI Number Information
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NPI Number | 1225797160
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Entity Type | Organization
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Legal Business Name | CORPORACION SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | PR 2 KM 86.6 INTERIOR MARGINAL NORTE BO. PUEBLO
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-898-4190
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 907
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City | HATILLO
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State | PR
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Zip | 00659-0907
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Country | US
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Telephone | 787-898-4190
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | YAZMIN SANTIAGO
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Credential |
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Telephone | 787-898-4190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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