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General NPI Number Information
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NPI Number | 1396794889
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Entity Type | Organization
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Legal Business Name | FUNDACION DR MANUEL DE LA PILA IGLESIA
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 2431 AVE LAS AMERICAS
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City | PONCE
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State | PR
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Zip | 00717-2113
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Country | US
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Telephone | 787-848-5600
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Fax | 787-651-5686
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Provider Business Mailing Address
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Address Line | PO BOX 331910
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City | PONCE
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State | PR
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Zip | 00733-1910
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Country | US
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Telephone | 787-848-5600
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Fax | 787-651-5686
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOSE JOAQUIN CORA
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Credential |
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Telephone | 787-848-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 52
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 52
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License Number State | PR
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