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General NPI Number Information
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NPI Number | 1356612444
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Entity Type | Organization
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Legal Business Name | CENTRO DE CUIDADO DE LA MUJER
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 500 AVE DEGETAU SUITE 512, HIMA PLAZA 1
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City | CAGUAS
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State | PR
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Zip | 00725-7301
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Country | US
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Telephone | 787-961-4640
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Fax | 787-961-4673
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Provider Business Mailing Address
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Address Line | 54 CAMINO DE LOS BUCARES URBANIZATION SABANERA DEL RIO
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City | GURABO
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State | PR
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Zip | 00778-5209
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Country | US
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Telephone | 787-747-3362
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Fax | 787-747-3362
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HECTOR JAVIER BERRIOS
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Credential | M.D.
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Telephone | 787-642-0658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 13165
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License Number State | PR
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