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General NPI Number Information
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NPI Number | 1356483721
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Entity Type | Organization
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Legal Business Name | LA MONSERRATE 2220 LLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | CALLE MUNOZ RIVERA # 19
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City | SALINAS
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State | PR
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Zip | 00751
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Country | US
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Telephone | 787-824-2220
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Fax | 787-824-5617
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Provider Business Mailing Address
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Address Line | CALLE MUNOZ RIVERA # 19
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City | SALINAS
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State | PR
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Zip | 00751
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Country | US
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Telephone | 787-824-2220
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Fax | 787-824-5617
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Authorized Official
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Title or Position | OWNER
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Name | MRS. INES VICTORIA ROSARIO RIVERA
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Credential |
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Telephone | 787-824-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 07F1631
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License Number State | PR
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