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General NPI Number Information
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NPI Number | 1649679143
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Entity Type | Organization
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Legal Business Name | MCP CARDIO, PSC
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 504 CALLE CESAR GONZALEZ
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City | SAN JUAN
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State | PR
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Zip | 00918-2652
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Country | US
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Telephone | 787-545-6112
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Fax | 787-545-6116
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Provider Business Mailing Address
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Address Line | PO BOX 195656
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City | SAN JUAN
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State | PR
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Zip | 00919-5656
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Country | US
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Telephone | 787-545-6112
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Fax | 787-545-6116
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Authorized Official
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Title or Position | OWNER
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Name | DR. MIGUEL A. CABRER-PICO
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Credential | M.D.
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Telephone | 787-545-6112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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