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General NPI Number Information
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NPI Number | 1285948182
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Entity Type | Organization
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Legal Business Name | MU MEDICOS UNIDOS DE PUERTO RICO INC
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 25 CALLE LEPANTO
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City | SAN JUAN
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State | PR
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Zip | 00926-1905
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Country | US
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Telephone | 787-717-5655
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Fax | 787-282-0238
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Provider Business Mailing Address
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Address Line | 25 CALLE LEPANTO
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City | SAN JUAN
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State | PR
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Zip | 00926-1905
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Country | US
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Telephone | 787-717-5655
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Fax | 787-282-0238
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JOSE L MUNDO
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Credential |
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Telephone | 787-717-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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