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General NPI Number Information
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NPI Number | 1598498123
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Entity Type | Organization
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Legal Business Name | GUZMAN MEDICAL CENTER CSP
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | CARR #2 KM. 40.34 LOCAL #5 BO. ALGARROBO
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-502-7262
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2002
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City | VEGA BAJA
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State | PR
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Zip | 00694-2002
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Country | US
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Telephone | 787-502-7262
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Fax |
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Authorized Official
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Title or Position | VICEPRESIDENT
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Name | MR. NELSON GARCIA
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Credential | MHSA
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Telephone | 787-502-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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