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General NPI Number Information
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NPI Number | 1336224252
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Entity Type | Organization
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Legal Business Name | CAGUAS CARDIO CENTER CSP
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | C-2 CONSOLIDATED MALL AVE GAUTIER BENITEZ
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-743-2378
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Fax | 787-743-1225
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Provider Business Mailing Address
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Address Line | PO BOX 5307
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City | CAGUAS
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State | PR
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Zip | 00726-5307
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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. PEDRO COLON
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Credential |
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Telephone | 787-720-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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