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General NPI Number Information
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NPI Number | 1518189018
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Entity Type | Organization
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Legal Business Name | CENTRO RADIOLOGICO MOROVIS
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | COMERCIO 11
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City | MOROVIS
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State | PR
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Zip | 00687
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Country | US
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Telephone | 787-862-3502
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Fax | 787-862-7247
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Provider Business Mailing Address
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Address Line | P O BOX 2120
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City | MOROVIS
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State | PR
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Zip | 00687
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Country | US
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Telephone | 787-862-3502
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Fax | 787-862-7247
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JULIA E. MARTINEZ
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Credential | M.D.
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Telephone | 787-862-3502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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