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General NPI Number Information
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NPI Number | 1336228311
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Entity Type | Organization
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Legal Business Name | RECETAS PRO MENOS INC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | #5 BB-9 PARQUE HERMOSO VILLA FONTANA PARK
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-752-3335
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Fax | 787-752-3360
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Provider Business Mailing Address
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Address Line | 1660 CALLE SANTA ANA ESQUINA FIDALGO DIAZ
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City | SAN JUAN
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State | PR
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Zip | 00909-2309
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Country | US
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Telephone | 787-722-8914
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Fax | 787-752-3660
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Authorized Official
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Title or Position | MANAGER
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Name | LYDIA RIVERA
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Credential |
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Telephone | 787-722-8914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 19F2168
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License Number State | PR
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