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General NPI Number Information
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NPI Number | 1295353910
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Entity Type | Organization
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Legal Business Name | VMEDICAL GROUP PSC
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 369 AVE ESCORIAL
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City | SAN JUAN
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State | PR
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Zip | 00920-3508
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Country | US
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Telephone | 787-922-9902
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 314
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City | GUAYNABO
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State | PR
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Zip | 00970-0314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICKY IVETTE MORALES RODRIGUEZ
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Credential | MD
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Telephone | 939-240-9369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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