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General NPI Number Information
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NPI Number | 1508892159
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Entity Type | Organization
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Legal Business Name | SIGNET PUERTO RICO
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 1448 AVE FERNANDEZ JUNCOS
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City | SANTURCE
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State | PR
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Zip | 00909-2655
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Country | US
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Telephone | 787-721-7776
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Fax | 787-721-7774
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Provider Business Mailing Address
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Address Line | 1448 AVE FERNANDEZ JUNCOS
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City | SANTURCE
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State | PR
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Zip | 00909-2655
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Country | US
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Telephone | 787-721-7776
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Fax | 787-721-7774
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | MS. NIVIA SOUFFRONT
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Credential |
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Telephone | 787-721-7776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 13263
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License Number State | PR
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