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General NPI Number Information
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NPI Number | 1457126138
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Entity Type | Organization
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Legal Business Name | CENTRO NEUROLOGICO DEL CARIBE, LLC.
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | SUITE 404 LAS AMERICAS PROFESSIONAL BUILDING AVE. DOMENECH 400
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City | SAN JUAN
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State | PR
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Zip | 00928-0092
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Country | US
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Telephone | 787-507-6733
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Fax | 787-767-1692
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Provider Business Mailing Address
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Address Line | PO BOX 270041
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City | SAN JUAN
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State | PR
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Zip | 00928-2837
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Country | US
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Telephone | 787-507-6733
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Fax | 787-767-1692
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JUAN MOREIRA
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Credential | MD
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Telephone | 787-507-6733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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