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NPI 1639269699

NPI 1639269699 : PRODUCTOS MEDICOS INC : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1639269699
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRODUCTOS MEDICOS INC 
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Dates
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    Enumeration Date     |    10/13/2006
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    Last Update Date     |    12/16/2010
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Provider Practice Location Address
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    Address Line         |    301 CALLE TAPIA 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00912-4215
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    Country              |    US
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    Telephone            |    787-726-6005
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    Fax                  |    787-727-3537
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Provider Business Mailing Address
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    Address Line         |    301 CALLE TAPIA 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00912-4215
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    Country              |    US
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    Telephone            |    787-726-6005
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    Fax                  |    787-727-3537
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     LUPITA  DIAZ 
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    Credential           |    
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    Telephone            |    787-726-6005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    07F0076
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    License Number State |    PR
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