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General NPI Number Information
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NPI Number | 1578122966
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Entity Type | Organization
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Legal Business Name | ENTREGAMEDS LLC
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 208 AVE PONCE DE LEON POPULAR CENTER LOCAL G 14
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 939-202-1179
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Fax |
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Provider Business Mailing Address
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Address Line | B5 CALLE TABONUCO SUITE 216 PMB 183
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 939-202-1179
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ALBERTO SANTIAGO ROSARIO
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Credential |
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Telephone | 939-202-1179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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