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General NPI Number Information
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NPI Number | 1285705277
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Entity Type | Organization
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Legal Business Name | CAGUAS CARDIO IMAGING GROUP
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | CARR # 52 BO CANABON OFIC 208 200 AVE RAFAEL CORDERO PMB 482
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City | CAGUAS
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State | PR
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Zip | 00725-3757
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Country | US
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Telephone | 787-747-6045
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Fax |
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Provider Business Mailing Address
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Address Line | 200 AVE RAFAEL CORDERO PMB 482 SUITE 140
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City | CAGUAS
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State | PR
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Zip | 00725-3740
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Country | US
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Telephone | 787-258-6551
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Fax |
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Authorized Official
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Title or Position | CARDILOGO
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Name | DR. JESUS M SANTOS
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Credential | MD
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Telephone | 787-747-6045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | PR
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