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General NPI Number Information
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NPI Number | 1609556877
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Entity Type | Organization
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Legal Business Name | CARDIOCARE PLUS LLC
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Dates
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Enumeration Date | 07/21/2023
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | URB EL RECREO 44
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-433-1994
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Fax |
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Provider Business Mailing Address
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Address Line | 1684 CALLE MARQUESA VALLE REAL
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City | PONCE
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State | PR
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Zip | 00716-0504
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Country | US
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Telephone | 787-433-1994
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADORA
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Name | EMILY PAGAN COLON
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Credential |
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Telephone | 787-433-1994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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