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General NPI Number Information
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NPI Number | 1265754766
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Entity Type | Organization
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Legal Business Name | SILRO
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 525 AVE FD ROOSEVELT SUITE 401, LA TORRE DE PLAZA
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City | SAN JUAN
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State | PR
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Zip | 00918-8001
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Country | US
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Telephone | 787-754-0715
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Fax | 787-282-0472
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Provider Business Mailing Address
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Address Line | CORREO ESMERALDA 53 PMB 114
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City | GUAYNABO
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State | PUERTO RICO
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Zip | 00969
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Country | UM
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Telephone |
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Fax | 787-282-0472
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRIEDA SILVA
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Credential | MD
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Telephone | 787-754-0715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 4211
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License Number State | PR
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