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General NPI Number Information
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NPI Number | 1407338759
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Entity Type | Organization
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Legal Business Name | SJ HEALTH, LLC
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 09/04/2018
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Provider Practice Location Address
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Address Line | 275 CALLE CONVENTO
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City | SAN JUAN
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State | PR
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Zip | 00912-3205
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Country | US
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Telephone | 787-792-6920
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 RD 19 PMB 143
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City | GUAYNABO
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State | PR
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Zip | 00966-2700
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Country | US
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Telephone | 787-792-6920
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAVIER CUEVAS MARRERO
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Credential | MD
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Telephone | 787-792-6920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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