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NPI 1396186805

NPI 1396186805 : RV MEDICAL SERVICES, PSC : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1396186805
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    Entity Type          |    Organization 
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    Legal Business Name  |    RV MEDICAL SERVICES, PSC 
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Dates
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    Enumeration Date     |    07/12/2013
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    Last Update Date     |    07/16/2013
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Provider Practice Location Address
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    Address Line         |    100 GRAN BULEVAR PASEOS SUITE 112 MSO 271
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00926-5955
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    Country              |    US
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    Telephone            |    787-292-3657
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    Fax                  |    787-292-3657
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Provider Business Mailing Address
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    Address Line         |    100 GRAN BULEVAR PASEOS SUITE 112 MSO 271
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00926-5955
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    Country              |    US
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    Telephone            |    787-292-3657
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    Fax                  |    787-292-3657
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JOEL  RAMOS 
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    Credential           |    M.D.
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    Telephone            |    787-292-3657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    11877
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    License Number State |    PR
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