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General NPI Number Information
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NPI Number | 1447691308
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Entity Type | Organization
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Legal Business Name | INSTITUTO DE SONOGRAFIA DE PR
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 400 AVE FD ROOSEVELT STE 206 CLINICA LAS AMERICAS
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City | SAN JUAN
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State | PR
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Zip | 00918-2129
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Country | US
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Telephone | 787-764-8787
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Fax | 787-250-1029
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Provider Business Mailing Address
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Address Line | 400 AVE FD ROOSEVELT STE 206 CLINICA LAS AMERICAS
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City | SAN JUAN
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State | PR
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Zip | 00918-2129
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Country | US
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Telephone | 787-764-8787
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Fax | 787-250-1029
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. FERNANDO RAMOS MERCADO
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Credential | MD
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Telephone | 787-764-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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