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General NPI Number Information
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NPI Number | 1366429003
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Entity Type | Organization
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Legal Business Name | THE RADIOLOGY INSTITUTE
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 400 AVE FD ROOSEVELT SUITE 101 CLINICA LAS AMERICAS
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City | SAN JUAN
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State | PR
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Zip | 00918-2103
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Country | US
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Telephone | 787-765-7713
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Fax | 787-250-7967
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Provider Business Mailing Address
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Address Line | 400 AVE FD ROOSEVELT SUITE 101 CLINICA LAS AMERICAS
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City | SAN JUAN
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State | PR
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Zip | 00918-2103
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Country | US
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Telephone | 787-765-7713
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Fax | 787-250-7967
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LUIS E BONNET JR.
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Credential |
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Telephone | 787-765-7713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | PR
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