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General NPI Number Information
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NPI Number | 1366285496
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Entity Type | Organization
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Legal Business Name | SALUBRITAS LLC
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | AVE BOULEVARD EE 10 LOCAL 3
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-409-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 CALLE CORAL APT 432
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City | TOA BAJA
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State | PR
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Zip | 00949-3057
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Country | US
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Telephone | 787-314-9523
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Fax |
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Authorized Official
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Title or Position | PROVEEDOR
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Name | IZA SERRANO-LUGO
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Credential |
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Telephone | 787-314-9523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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