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General NPI Number Information
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NPI Number | 1275580763
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Entity Type | Organization
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Legal Business Name | METROHEALTH, INC.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 1785 CARR 21 LAS LOMAS
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City | SAN JUAN
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State | PR
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Zip | 00921-3399
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Country | US
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Telephone | 787-782-9999
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Fax | 787-782-0280
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Provider Business Mailing Address
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Address Line | PO BOX 11981
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City | SAN JUAN
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State | PR
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Zip | 00922-1981
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Country | US
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Telephone | 787-782-9999
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Fax | 787-781-6066
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DOMINGO NEVAREZ
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Credential | MHSA
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Telephone | 787-708-6339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 67
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License Number State | PR
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