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General NPI Number Information
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NPI Number | 1306459409
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Entity Type | Organization
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Legal Business Name | CLINICA LAS AMERICAS GUAYNABO, INC
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1825 CALLE NAVARRA STE 101
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City | PONCE
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State | PR
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Zip | 00716-4614
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Country | US
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Telephone | 787-789-1996
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7891
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City | GUAYNABO
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State | PR
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Zip | 00970-7891
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Country | US
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Telephone | 787-789-1996
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Fax |
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Authorized Official
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Title or Position | SVP & STRATEGY PHARMACY
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Name | NURY TOLEDO NUNEZ
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Credential |
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Telephone | 787-789-1996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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