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General NPI Number Information
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NPI Number | 1619630613
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Entity Type | Organization
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Legal Business Name | MUNOZ INTERNAL MEDICINE SERVICES C.S.P.
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Dates
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Enumeration Date | 10/16/2021
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Last Update Date | 05/25/2024
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Provider Practice Location Address
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Address Line | 29 CALLE WASHINGTON STE 208B
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City | SAN JUAN
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State | PR
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Zip | 00907-1561
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Country | US
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Telephone | 787-721-4836
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Fax | 787-721-8448
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Provider Business Mailing Address
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Address Line | 55 CALLE DE LA FIDELIDAD
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City | CAGUAS
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State | PR
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Zip | 00725-1844
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Country | US
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Telephone | 787-721-4836
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Fax | 787-721-8448
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERNESTO J MUNOZ VILCHES
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Credential | MD
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Telephone | 787-630-4060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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