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General NPI Number Information
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NPI Number | 1568580355
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Entity Type | Organization
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Legal Business Name | PONCE SCHOOL OF MEDICINE CAIMED CENTER
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 280 CALLE MONTERREY
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City | PONCE
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State | PR
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Zip | 00716-0377
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Country | US
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Telephone | 787-840-2505
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Fax | 787-840-2535
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Provider Business Mailing Address
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Address Line | PO BOX 7004
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City | PONCE
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State | PR
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Zip | 00732-7004
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Country | US
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Telephone | 787-840-2505
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Fax | 787-840-2535
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ELIZABETH A BARRANCO
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Credential | MD
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Telephone | 787-840-2505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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