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General NPI Number Information
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NPI Number | 1437488269
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Entity Type | Organization
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Legal Business Name | PANRIV MEDICAL SERVICES CORP.
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | CARR 688 KM 4.1 PARC 215 BO SABANA
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City | VEGA BAJA
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State | PR
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Zip | 00694
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Country | US
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Telephone | 787-608-8207
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Fax | 787-854-2000
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Provider Business Mailing Address
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Address Line | BOX 8885
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City | VEGA BAJA
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State | PR
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Zip | 00694
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Country | UM
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAIME XAVIER PANTOJA
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Credential |
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Telephone | 787-608-8207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number |
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License Number State | PR
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