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General NPI Number Information
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NPI Number | 1285024224
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Entity Type | Organization
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Legal Business Name | SERVICIOS MEDICOS DR. RICARDO GUERRERO, C.S.P.
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | CARR. MARGINAL 187 AVE. ISLA VERDE ISLA VERDE MALL SUITE 209
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City | CAROLINA
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State | PR
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Zip | 00982
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Country | US
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Telephone | 787-961-2893
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Fax | 787-961-2893
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Provider Business Mailing Address
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Address Line | A16 CALLE JAGUA VALLE ARRIBA HEIGHTS
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City | CAROLINA
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State | PR
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Zip | 00983-3423
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Country | US
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Telephone | 787-961-2893
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Fax | 787-961-2893
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICARDO GUERRERO
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Credential | M.D., PM&R
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Telephone | 787-961-2893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 16221
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License Number State | PR
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