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General NPI Number Information
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NPI Number | 1508127580
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Entity Type | Organization
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Legal Business Name | CLINICA DE SALUD INTEGRAL INC
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 18 CALLE VICENTE DE LEON BO COLLORES
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City | LAS PIEDRAS
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State | PR
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Zip | 00771-3353
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Country | US
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Telephone | 787-733-1725
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1436
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City | LAS PIEDRAS
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State | PR
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Zip | 00771-1436
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Country | US
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Telephone | 787-733-1725
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HECTOR RAFAEL TORO DENIS
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Credential | M.D.
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Telephone | 787-354-0314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 009768
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License Number State | PR
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