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General NPI Number Information
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NPI Number | 1427698208
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Entity Type | Organization
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Legal Business Name | PUERTO RICO ADVANCED UROLOGY CENTER, LLC
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 100 AVE LAUREL
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City | BAYAMON
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State | PR
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Zip | 00956-4816
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Country | US
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Telephone | 787-786-5307
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Fax | 787-740-2140
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Provider Business Mailing Address
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Address Line | PO BOX 1847
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City | BAYAMON
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State | PR
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Zip | 00960-1847
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Country | US
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Telephone | 787-786-5305
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Fax | 787-740-2140
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. FRANCISCO MANUEL DUBOCQ
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Credential | MD
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Telephone | 787-948-3431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QL0400X
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Taxonomy Name | Lithotripsy Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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