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General NPI Number Information
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NPI Number | 1477536852
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Entity Type | Organization
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Legal Business Name | FARMACIA SAN MARTIN MANAT INC
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | PLAZA PUERTA DEL SOL #54, CARR #2, SUITE #3,
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City | MANAT
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State | PR
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Zip | 00674-4973
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Country | US
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Telephone | 787-884-4445
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Fax | 787-884-4444
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Provider Business Mailing Address
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Address Line | ESTANCIAS DE MANATI II # 153 CALLE DORADO
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-854-7265
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Fax | 787-854-7265
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Authorized Official
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Title or Position | CEO
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Name | MS. MILDRED N SANTIAGO
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Credential |
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Telephone | 787-884-4444
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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 | 3920
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License Number State | PR
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