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General NPI Number Information
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NPI Number | 1467529628
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Entity Type | Organization
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Legal Business Name | CARDIO GENERAL ANESTHESIA GROUP PSC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | HOSPITAL EPISCOPAL SAN LUCAS AVE TITU CASTRO 917
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City | PONCE
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State | PR
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Zip | 00731
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Country | US
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Telephone | 787-843-0244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1790
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City | PONCE
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State | PR
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Zip | 00733-1790
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Country | US
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Telephone | 787-843-0244
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Fax | 787-843-0108
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Authorized Official
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Title or Position | PRESIDENT DIRECTOR
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Name | DR. LUIS E CUMMINGS JR.
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Credential | MD
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Telephone | 787-843-0244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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