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General NPI Number Information
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NPI Number | 1538597596
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Entity Type | Organization
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Legal Business Name | RECINTO DE CIENCIAS MEDICAS
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | AVE 65 INFANTERIA CARRETERA# 3 KM 8.3
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City | CAROLINA
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State | PR
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Zip | 00987-7627
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Country | US
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Telephone | 787-757-6420
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29207
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City | SAN JUAN
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State | PR
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Zip | 00929-0207
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Country | US
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Telephone | 787-757-6420
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Fax | 787-757-0520
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NOEMI SOTO
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Credential |
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Telephone | 787-757-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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