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General NPI Number Information
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NPI Number | 1326012675
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Entity Type | Organization
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Legal Business Name | SAN PATRICIO MRI & CT CENTER, P.S.C.
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 280 AVE MARGINAL KENNEDY
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City | GUAYNABO
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State | PR
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Zip | 00968-1746
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Country | US
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Telephone | 787-620-5757
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Fax | 787-905-7921
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Provider Business Mailing Address
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Address Line | 280 AVE MARGINAL KENNEDY
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City | GUAYNABO
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State | PR
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Zip | 00968-1746
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Country | US
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Telephone | 787-620-5757
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Fax | 787-905-7921
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FERNANDO ZALDUONDO
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Credential | MD
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Telephone | 787-620-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 12263
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License Number State | PR
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