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General NPI Number Information
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NPI Number | 1346556925
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR RADIOLOGY INSTITUTE
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | CENTRO CARDIOVASCULAR DE P.R. Y EL CARIBE SUITE 1
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City | RIO PIEDRAS
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-753-1765
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Fax | 787-771-9182
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Provider Business Mailing Address
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Address Line | P.O. BOX 11792
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City | SAN JUAN
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State | PR
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Zip | 00910-2892
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Country | US
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Telephone | 787-268-1015
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Fax | 787-268-5511
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NYDIA RIVERA
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Credential |
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Telephone | 787-268-1015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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