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General NPI Number Information
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NPI Number | 1447103502
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Entity Type | Organization
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Legal Business Name | MEDX COMMUNITY CLINICS
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 1801 AV. JUAN PONCE DE LEON SUITE 403
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 939-535-3801
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Fax |
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Provider Business Mailing Address
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Address Line | 1666 AV. JUAN PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BRETT HEAP
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Credential |
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Telephone | 949-417-6888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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