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General NPI Number Information
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NPI Number | 1558277277
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Entity Type | Organization
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Legal Business Name | PULMONARY ALLIANCE OF PR,LLC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | GUAYNABO MEDICAL PLAZA SUITE 203 10 AVE LAS CUMBRES
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City | GUAYNABO
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State | PR
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Zip | 00969-9998
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Country | US
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Telephone | 787-679-2010
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Fax |
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Provider Business Mailing Address
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Address Line | H5 AVE SAN PATRICIO APT 1403
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City | GUAYNABO
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State | PR
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Zip | 00968-3223
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Country | US
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Telephone | 787-679-2010
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | CARLOS R VAZQUEZ GONZALEZ
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Credential | MD
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Telephone | 787-679-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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