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General NPI Number Information
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NPI Number | 1598057374
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Entity Type | Organization
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Legal Business Name | AGUADA MEDICAL CENTER INC.
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | CARRETERA 115 KM 24.5 BARRIO ASOMANTE
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-868-0345
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Fax | 787-868-0345
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Provider Business Mailing Address
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Address Line | PO BOX 90
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-589-7400
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Fax | 787-589-7402
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Authorized Official
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Title or Position | DIRECTOR MEDICO
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Name | DR. HIRAM J. ORTEGA
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Credential | MD
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Telephone | 787-589-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State | PR
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Taxonomy #2
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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 | PR
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