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General NPI Number Information
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NPI Number | 1396725388
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Entity Type | Organization
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Legal Business Name | DOCTOR CENTER X RAY INC
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | P Q 24 AVE COMANDANTE
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City | CAROLINA
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State | PR
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Zip | 00984-4437
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Country | US
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Telephone | 787-769-4905
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Fax | 787-752-6011
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Provider Business Mailing Address
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Address Line | PO BOX 4437
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City | CAROLINA
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State | PR
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Zip | 00984-4437
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Country | US
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Telephone | 787-769-4905
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Fax | 787-752-6011
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Authorized Official
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Title or Position | ADMINISTRADOR
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Name | RAFAEL CACERES
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Credential |
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Telephone | 787-769-4905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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