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General NPI Number Information
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NPI Number | 1427207232
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Entity Type | Organization
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Legal Business Name | CENTRO GINECO-OBSTETRICO DEL OESTE INC.
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | EDIFICIO CENTERPLEX CARR #2 KM 133.5 SUITE 307
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-908-6888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6676
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City | MAYAGUEZ
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State | PR
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Zip | 00681-6676
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Country | US
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Telephone | 787-908-6600
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Fax | 787-675-9228
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MABEL M BONILLA
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Credential | M.D.
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Telephone | 787-503-3623
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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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