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General NPI Number Information
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NPI Number | 1619448701
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Entity Type | Organization
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Legal Business Name | INTERMEDIC MEDICAL SERVICES PSC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | BO RINCON SECTOR LOMAS CARRETERA 14 KM 0.3 INTERIOR
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City | CAYEY
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State | PR
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Zip | 00737-2800
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Country | US
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Telephone | 787-530-1001
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Fax |
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Provider Business Mailing Address
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Address Line | D11 CALLE YAGRUMO
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City | CAGUAS
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State | PR
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Zip | 00727-1302
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Country | US
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Telephone | 787-640-7594
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Fax | 787-530-2092
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Authorized Official
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Title or Position | CMO
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Name | DR. JULIO E GARCIA
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Credential | MD
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Telephone | 787-640-7594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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