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General NPI Number Information
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NPI Number | 1598985889
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Entity Type | Organization
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Legal Business Name | DEPARTAMENTO DE SALUD OFICIAL
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | CARRT. 188 KM5 HM 6 INT. 187
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City | LOIZA
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State | PR
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Zip | 00772
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Country | US
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Telephone | 787-876-2245
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Fax | 787-771-2295
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Provider Business Mailing Address
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Address Line | PO BOX 70184
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City | SAN JUAN
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State | PR
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Zip | 00936-8184
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Country | US
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Telephone | 787-765-2929
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Fax | 787-771-2295
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Authorized Official
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Title or Position | SECRETARIO AUXILIAR II
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Name | YESAREL Y. PESANTE SANCHEZ
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Credential |
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Telephone | 787-765-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 5365-05
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License Number State | PR
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