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General NPI Number Information
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NPI Number | 1235900119
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Entity Type | Organization
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Legal Business Name | MCM CARDIOLOGY LLC
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 101 AVE SAN PATRICIO STE 1260
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City | GUAYNABO
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State | PR
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Zip | 00968-3059
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Country | US
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Telephone | 787-272-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 101 AVE SAN PATRICIO STE 1260
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City | GUAYNABO
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State | PR
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Zip | 00968-3059
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Country | US
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Telephone | 787-272-2010
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MELISSA M RUIZ-RODRIGUEZ
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Credential | MD
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Telephone | 787-272-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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