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General NPI Number Information
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NPI Number | 1346618790
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Entity Type | Organization
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Legal Business Name | ERO NEUROLOGY HEALTH SERVICES P.S.C
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 500 AVE JESUS TORIBIO PINERO COND PARQUE DE LOYOLA TORRE SUR APT 1401
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City | SAN JUAN
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State | PR
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Zip | 00918-1401
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Country | US
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Telephone | 787-413-4294
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Fax | 787-998-0735
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Provider Business Mailing Address
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Address Line | 500 AVE JESUS TORIBIO PINERO COND PARQUE DE LOYOLA TORRE SUR APT 1401
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-413-4294
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Fax | 787-998-0735
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Authorized Official
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Title or Position | NEUROLOGIST
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Name | DR. ENRIQUE J RODRIGUEZ
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Credential | MD
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Telephone | 787-413-4294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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