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General NPI Number Information
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NPI Number | 1346695020
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Entity Type | Organization
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Legal Business Name | HOSPITAL AUXILIO MUTUO
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | AVE PONCE DE LEON # 37.5
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City | SAN JUAN
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State | PR
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Zip | 00915-3959
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Country | US
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Telephone | 787-758-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CALLE 3 VILLA LOS OLMOS
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City | SAN JUAN
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State | PR
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Zip | 00927-4627
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Country | US
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Telephone | 787-342-7504
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. FRANCISCO DIAZ LOZADA
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Credential | M.D.
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Telephone | 787-758-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 31765
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License Number State | PR
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