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General NPI Number Information
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NPI Number | 1356561435
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Entity Type | Organization
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Legal Business Name | CENTRO MEDICO DEL TURABO
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | LUIS MUNOZ RIVERA AVE #100
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-620-9232
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Fax | 787-620-4765
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Provider Business Mailing Address
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Address Line | PO BOX 4980
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City | CAGUAS
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State | PR
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Zip | 00726-4980
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Country | US
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Telephone | 787-620-9232
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Fax | 787-620-4765
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Authorized Official
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Title or Position | CHAIRMAN, CEO
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Name | MR. JOAQUIN RODRIGUEZ SR.
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Credential | JD
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Telephone | 787-653-3099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 08-F-2381
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License Number State | PR
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