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General NPI Number Information
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NPI Number | 1376368605
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Entity Type | Organization
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Legal Business Name | CARDIOLIFE STUDIES CORP.
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | AVE ALEJANDRINO, CARR #838 KM 1 HM 8
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-671-3169
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Fax |
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Provider Business Mailing Address
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Address Line | URB. HACIENDA REAL 299 CALLE LIRIO DE PAZ
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City | CAROLINA, PR
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State | PR
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Zip | 00987
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Country | US
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Telephone | 939-366-0469
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROLANDO BERGOLLA HERNANDEZ
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Credential |
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Telephone | 939-366-0469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 246X00000X
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Taxonomy Name | Cardiovascular Specialist/Technologist
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License Number |
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License Number State |
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