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General NPI Number Information
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NPI Number | 1265204341
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Entity Type | Organization
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Legal Business Name | MEDICOS UNIDOS POR TU SALUD LLC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 120 CALLE MORSE
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City | ARROYO
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State | PR
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Zip | 00714-2607
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Country | US
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Telephone | 787-929-1121
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Fax |
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Provider Business Mailing Address
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Address Line | BZN 1 CALLE ACUARIO 1 URB LOMAS DEL SOL
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City | GURABO PR
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State | PR
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Zip | 00778-8909
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Country | US
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Telephone | 787-972-4040
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KAREM M ESTEVES MARTINEZ
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Credential |
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Telephone | 787-972-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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