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General NPI Number Information
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NPI Number | 1598191793
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Entity Type | Organization
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Legal Business Name | YSL PSC
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | AVE PONCE DE LEON PARADA 37 1/2 SUITE 608 TORRE DE AUXILIO MUTUO
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 787-777-8181
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Fax | 787-777-8180
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Provider Business Mailing Address
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Address Line | 30 CALLE TURQUESA SENDEROS EN MONTEHIEDRA
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City | SAN JUAN
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State | PR
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Zip | 00926-7064
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Country | US
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Telephone | 787-636-8272
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARMEN A MENDEZ MOLINA
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Credential | MD
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Telephone | 787-777-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 12903
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License Number State | PR
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