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General NPI Number Information
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NPI Number | 1538370416
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Entity Type | Organization
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Legal Business Name | V & V ANESTHESIA PSC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | FONT MARTELLO AVENUE #355
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-852-4700
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Fax |
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Provider Business Mailing Address
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Address Line | #100 GRAND BOULEVARD PASEOS SUITE 112 MSO 271
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City | SAN JUAN
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State | PR
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Zip | 00926-5955
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Country | US
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Telephone | 787-405-2218
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRMA M. VARGAS
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Credential | M.D.
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Telephone | 787-405-2218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 11033
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License Number State | PR
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