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General NPI Number Information
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NPI Number | 1588637789
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Entity Type | Organization
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Legal Business Name | AGUADILLA MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 2 AVE VICTORIA
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City | AGUADILLA
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State | PR
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Zip | 00603-4728
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Country | US
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Telephone | 787-882-0303
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Fax | 787-997-1680
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Provider Business Mailing Address
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Address Line | PO BOX 250479
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City | AGUADILLA
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State | PR
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Zip | 00604-0479
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Country | US
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Telephone | 787-882-0303
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Fax | 787-997-1680
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MRS. BETHZAIDA LOPEZ
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Credential |
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Telephone | 787-882-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 864
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 22
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License Number State | PR
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