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General NPI Number Information
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NPI Number | 1477932671
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Entity Type | Organization
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Legal Business Name | CUIDANDO TUS SENOS, LLC
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 1000 AVE DOS PALMAS
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City | TOA BAJA
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State | PR
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Zip | 00949-4101
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Country | US
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Telephone | 787-784-5706
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Fax | 787-795-0952
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Provider Business Mailing Address
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Address Line | PO BOX 633
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City | DORADO
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State | PR
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Zip | 00646-0633
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Country | US
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Telephone | 787-318-8930
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARLOS A SANTIAGO
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Credential | MD., FACS
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Telephone | 787-205-9904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 10298
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10298
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License Number State | PR
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