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General NPI Number Information
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NPI Number | 1558832360
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICAL CENTER OF MAYAGUEZ LLC
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | PLAZA SULTANA CARR. #2 KM 152
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City | MAYAGUEZ
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State | PR
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Zip | 00682-1343
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Country | US
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Telephone | 787-792-5389
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 620 PO BOX 4952
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City | CAGUAS
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State | PR
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Zip | 00726-4952
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Country | US
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Telephone | 787-286-6060
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Fax | 225-214-9349
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Authorized Official
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Title or Position | CLINICS STRATEGY
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Name | LUZ N TOLEDO NUNEZ
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Credential |
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Telephone | 787-286-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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