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General NPI Number Information
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NPI Number | 1639477219
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Entity Type | Organization
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Legal Business Name | QUEBRADILLAS MEDICAL CENTER PSC
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | CARR 2 KM 96.8 BARRIO COCOS
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City | QUEBRADILLAS
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State | PR
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Zip | 00678-0938
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Country | US
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Telephone | 787-895-6315
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 938
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City | HATILLO
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State | PR
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Zip | 00659-0938
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Country | US
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Telephone | 787-895-6315
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDRICK RAMIREZ
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Credential |
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Telephone | 787-895-6315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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