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General NPI Number Information
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NPI Number | 1619079944
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Entity Type | Organization
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Legal Business Name | SAN JUDAS MEDICAL SERVICES
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | AVE ROBERTO CLEMENTE 124-8 VILLA CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-750-4920
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3628
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City | CAROLINA
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State | PR
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Zip | 00984-3628
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Country | US
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Telephone | 787-750-4920
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Fax | 787-276-4275
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Authorized Official
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Title or Position | SUPERVISORA
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Name | MRS. YOLANDA RAMIREZ
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Credential |
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Telephone | 787-750-5245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5799
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 237
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10945
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License Number State | PR
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Taxonomy #4
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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 |
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 6414
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 7219
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License Number State | PR
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 16321
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License Number State | PR
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