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General NPI Number Information
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NPI Number | 1538454749
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Entity Type | Organization
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Legal Business Name | ULTRASOUND MEDICAL GROUP
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 1394 CALLE SAN RAFAEL SUITE 10
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City | SAN JUAN
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State | PR
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Zip | 00909-2541
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Country | US
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Telephone | 787-725-4284
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1598
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City | GUAYNABO
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State | PR
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Zip | 00970-1598
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Country | US
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Telephone | 787-725-4284
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. ROBERTO RUIZ
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Credential | M.D.
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Telephone | 787-725-4284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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