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NPI 1245044650

NPI 1245044650 : ALQUIMIA SERVICES LLC : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1245044650
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALQUIMIA SERVICES LLC 
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Dates
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    Enumeration Date     |    02/05/2025
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    Last Update Date     |    02/05/2025
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Provider Practice Location Address
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    Address Line         |    1304 CALLE WILSON APT 8S 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00907-2243
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    Country              |    US
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    Telephone            |    787-722-2371
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    Fax                  |    787-722-2374
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Provider Business Mailing Address
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    Address Line         |    1304 CALLE WILSON APT 8S 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00907-2243
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    Country              |    US
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    Telephone            |    787-722-2371
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    Fax                  |    787-722-2374
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Authorized Official
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    Title or Position    |    PRESIDENT, SECRETARY. TREASURER
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    Name                 |     UBALDO G SANTIAGO 
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    Credential           |    MD
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    Telephone            |    787-536-2033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207PE0004X
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    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
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    License Number       |    
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    License Number State |    
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