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NPI 1427667047

NPI 1427667047 : CLINICA TODO SALUD - AIBONITO, LLC : AIBONITO, PR

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General NPI Number Information
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    NPI Number           |    1427667047
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLINICA TODO SALUD - AIBONITO, LLC 
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Dates
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    Enumeration Date     |    07/29/2020
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    CARR 725 KM 0.5 BO LLANOS PARQUE INDUSTRIAL L-238-0-61
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    City                 |    AIBONITO
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    State                |    PR
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    Zip                  |    00705-3526
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    Country              |    US
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    Telephone            |    787-545-7073
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    Fax                  |    787-620-5379
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Provider Business Mailing Address
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    Address Line         |    PO BOX 71114 
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    City                 |    SAN JUAN, PR
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    State                |    PR
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    Zip                  |    00936-8014
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    Country              |    US
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    Telephone            |    787-622-3000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP OF CLINICS
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    Name                 |     MARCOS  AGUILA SASTRE 
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    Credential           |    MHSA
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    Telephone            |    787-622-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    
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    License Number State |    
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