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General NPI Number Information
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NPI Number | 1407775265
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Entity Type | Organization
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Legal Business Name | CENTRO DE MEDICINA NATURAL Y REGENERATIVA LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 10 CALLE PARQUE
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City | BAYAMON
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State | PR
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Zip | 00961-6218
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Country | US
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Telephone | 787-649-9593
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 615
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City | COROZAL
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State | PR
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Zip | 00783-0615
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Country | US
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Telephone | 787-649-9593
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. JUAN ALBERTO MORENO PADILLA
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Credential | MD
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Telephone | 787-649-9596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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