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General NPI Number Information
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NPI Number | 1346447265
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Entity Type | Organization
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Legal Business Name | MED HEALTH HOSPICE CORP
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | BO GUANAJIBO SECTOR PARABUEYON CARR 102 KM 18.6
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-254-4307
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Fax | 787-254-4307
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Provider Business Mailing Address
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Address Line | 154 CARR 102
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City | CABO ROJO
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State | PR
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Zip | 00623-3138
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Country | US
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Telephone | 787-254-4307
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Fax | 787-254-4307
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Authorized Official
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Title or Position | OWNER
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Name | MR. LUIS A MONTALVO
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Credential |
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Telephone | 787-254-4307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 001367
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License Number State | PR
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