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General NPI Number Information
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NPI Number | 1619569043
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Entity Type | Organization
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Legal Business Name | HOSPITAL MENONITA HUMACAO INC
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | AVE. FONT MARTELLO #300
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City | HUMACAO
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State | PR
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Zip | 00792-8888
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Country | US
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Telephone | 787-434-1700
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Fax | 787-434-1715
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Provider Business Mailing Address
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Address Line | PO BOX 1650
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City | CIDRA
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State | PR
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Zip | 00739-1650
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Country | US
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Telephone | 787-434-1700
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Fax | 787-434-1715
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Authorized Official
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Title or Position | BILLING & COLLECTOR DIRECTOR
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Name | LISSETTE VAZQUEZ RIVERA
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Credential |
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Telephone | 787-434-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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