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General NPI Number Information
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NPI Number | 1396244877
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Entity Type | Organization
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Legal Business Name | CAGUAS AMBULATORY SURGICAL CENTER, INC
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Dates
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Enumeration Date | 02/09/2018
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | CARR 156 KM 60.1
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City | CAGUAS
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State | PR
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Zip | 07256
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Country | US
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Telephone | 787-376-8354
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Fax | 787-376-8354
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Provider Business Mailing Address
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Address Line | 48 CARR 165 STE 1010
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City | GUAYNABO
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State | PR
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Zip | 00968-8080
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Country | US
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Telephone | 787-376-8354
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Fax |
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Authorized Official
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Title or Position | CEO / ADMINISTRATOR
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Name | ANGIE L JIMENEZ
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Credential | MHSA
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Telephone | 787-376-8354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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