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General NPI Number Information
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NPI Number | 1386448801
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Entity Type | Organization
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Legal Business Name | SUPPORTIVE AND TRANSITION CARE
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1789 CARR 21 STE 101 HOSPITAL METROPOLITANO
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City | SAN JUAN
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State | PR
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Zip | 00921-3334
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Country | US
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Telephone | 787-718-2747
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Fax |
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Provider Business Mailing Address
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Address Line | URB SABANERA DEL RIO #403 CAMINO LAS TRINITARIAS
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-718-2747
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | DR. VICTOR RUIZ GARCIA
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Credential | MD
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Telephone | 787-718-2747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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