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General NPI Number Information
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NPI Number | 1245992239
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Entity Type | Organization
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Legal Business Name | HEADACHE CENTER OF PR AND THE CARIBBEAN LLC
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1910 AVE JESUS T PINERO OFICINA 202 ALTAMIRA RESERVE
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-235-5969
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3722
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City | GUAYNABO
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State | PR
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Zip | 00970-3722
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Country | US
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Telephone | 787-235-5969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA GARCIA AYALA
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Credential | MD
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Telephone | 787-235-5969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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