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NPI 1639548761

NPI 1639548761 : PREVEN FAMILIAR INC. : CAGUAS, PR

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General NPI Number Information
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    NPI Number           |    1639548761
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    Entity Type          |    Organization 
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    Legal Business Name  |    PREVEN FAMILIAR INC. 
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Dates
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    Enumeration Date     |    09/18/2015
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    Last Update Date     |    01/08/2016
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Provider Practice Location Address
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    Address Line         |    AVE DEGETAU F7 BONNEVILLE TERRACE
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    City                 |    CAGUAS
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    State                |    PR
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    Zip                  |    00725-5819
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    Country              |    US
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    Telephone            |    787-961-3393
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7289 
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    City                 |    CAGUAS
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    State                |    PR
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    Zip                  |    00726-7289
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    Country              |    US
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    Telephone            |    787-746-2880
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HECTOR M ROSARIO REYES 
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    Credential           |    MD
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    Telephone            |    787-642-2883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0050X
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    Taxonomy Name        |    Non-Surgical Family Planning Clinic/Center
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    License Number       |    
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    License Number State |    
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