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General NPI Number Information
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NPI Number | 1508664996
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Entity Type | Organization
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Legal Business Name | SMARTMED BILLING LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 371 CALLE DE DIEGO
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City | SAN JUAN
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State | PR
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Zip | 00923-3002
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Country | US
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Telephone | 787-893-3411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1945
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City | JUNCOS
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State | PR
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Zip | 00777-1945
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Country | US
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Telephone | 787-893-3411
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANUEL ORTIZ BUSTILLO
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Credential | MD
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Telephone | 787-893-3411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #6
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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 #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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