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General NPI Number Information
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NPI Number | 1568869659
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Entity Type | Organization
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Legal Business Name | PMR CENTER PSC
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 1672 CALLE PARANA EL CEREZAL
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City | SAN JUAN
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State | PR
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Zip | 00926-3145
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Country | US
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Telephone | 787-166-3333
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Fax | 787-274-1837
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Provider Business Mailing Address
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Address Line | AA13 CAMINO PANORAMICO ALTAVILLA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-6088
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Country | US
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Telephone | 787-766-3333
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Fax | 787-274-1837
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANELYS TORRES
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Credential | M.D.
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Telephone | 787-766-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 9832
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License Number State | PR
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