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General NPI Number Information
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NPI Number | 1619842804
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Entity Type | Organization
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Legal Business Name | EASY HEALTH MEDICAL SOLUTIONS PUERTO RICO PC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | URB MAR AZUL 1 B4
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-618-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD PMB 38903
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | TUSHAR DESAI
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Credential | MD, MBA
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Telephone | 818-675-8531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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