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General NPI Number Information
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NPI Number | 1639016819
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Entity Type | Organization
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Legal Business Name | FAMILY CARE CLINIC LLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | CALLE MARGINAL RAMAL 484,BO COCOS SECTOR LAS PIEDRAS 162
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City | QUEBRADILLAS
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State | PR
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Zip | 00678-0000
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Country | US
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Telephone | 787-280-8776
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Fax |
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Provider Business Mailing Address
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Address Line | ESTANCIAS PARAISO #209 CALLE CIRUELO
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City | ISABELA
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State | PR
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Zip | 00662-3927
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Country | US
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Telephone | 787-312-1243
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. WILLNELSA REY
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Credential | MD
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Telephone | 787-312-1243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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