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General NPI Number Information
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NPI Number | 1316595804
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Entity Type | Organization
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Legal Business Name | CEIBA MEDICAL SERVICES INC
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 195 AVE LAURO INERO
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City | CEIBA
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-885-4141
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Fax |
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Provider Business Mailing Address
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Address Line | HC 67 BOX 17846 LAS GAVIOTAS
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-884-4141
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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. REBECCA SANTIAGO
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Credential | MD
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Telephone | 787-349-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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