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General NPI Number Information
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NPI Number | 1629248836
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Entity Type | Organization
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Legal Business Name | COAMO HEALTH INSTITUTE
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 04/17/2022
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Provider Practice Location Address
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Address Line | 30 CALLE FLORENCIO SANTIAGO
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City | COAMO
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State | PR
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Zip | 00769-3260
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Country | US
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Telephone | 787-803-4659
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Fax | 939-732-7072
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Provider Business Mailing Address
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Address Line | PO BOX 440
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City | COAMO
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State | PR
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Zip | 00769-0440
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Country | US
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Telephone | 787-403-6090
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | JOSE G RIVERA
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Credential |
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Telephone | 787-803-4659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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