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General NPI Number Information
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NPI Number | 1528269891
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Entity Type | Organization
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Legal Business Name | RICMD GYN SERVICES P S C
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 115 RD KM 24.5 BO ASOMANTE AGUADA COMPLEX BUILDING SUITE G
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-868-2040
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Fax | 787-868-2175
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Provider Business Mailing Address
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Address Line | PO BOX 1539
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City | MAYAGUEZ
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State | PR
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Zip | 00681-1539
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Country | US
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Telephone | 787-831-7319
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Fax | 787-868-2175
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Authorized Official
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Title or Position | OWNER
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Name | MR. RUBEN I CASTILLO SR.
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Credential | MD
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Telephone | 787-868-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 7510
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License Number State | PR
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