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General NPI Number Information
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NPI Number | 1386241537
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Entity Type | Organization
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Legal Business Name | SERVICIOS MEDICOS DR ALCANTARA LLC
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | AVE SIMON MADERA 804 VILLA PRADES
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-763-2228
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 362204
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City | SAN JUAN
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State | PR
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Zip | 00936-2204
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Country | US
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Telephone | 787-763-2228
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Fax | 787-763-2228
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Authorized Official
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Title or Position | HEAD DR
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Name | DR. TEMMY SAINT HILAIRE
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Credential | MD
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Telephone | 787-615-6370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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