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General NPI Number Information
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NPI Number | 1457261695
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Entity Type | Organization
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Legal Business Name | MSS OF PONCE INC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 46 HARBOUR LIGHTS DR
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City | HUMACAO
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State | PR
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Zip | 00791-6053
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Country | US
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Telephone | 787-697-0046
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Fax |
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Provider Business Mailing Address
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Address Line | 46 HARBOUR LIGHTS DR
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City | HUMACAO
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State | PR
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Zip | 00791-6053
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Country | US
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Telephone | 787-697-0046
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS E SANTINI RIVERA
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Credential |
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Telephone | 787-733-5656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine 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 | 208D00000X
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Taxonomy Name | General Practice 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 | 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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