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General NPI Number Information
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NPI Number | 1528360237
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Entity Type | Organization
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Legal Business Name | SAN JUAN CITY HOSPITAL
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 66 CALLE VIOLETA CIUDAD JARDIN,
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City | CAROLINA
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State | PR
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Zip | 00987-2205
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Country | US
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Telephone | 787-420-0150
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Fax |
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Provider Business Mailing Address
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Address Line | VIOLET STREET #66 , CIUDAD JARDIN, #66
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-420-0150
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. VERONICA DEL RIO
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Credential | M.D,
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Telephone | 787-765-7618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 28260R
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License Number State | PR
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