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General NPI Number Information
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NPI Number | 1659573665
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Entity Type | Organization
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Legal Business Name | UDH HOSPITAL
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | PLAZA UNIVERSIDAD 2000 APARTMENT 622
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City | SAN JUAN
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-547-6355
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Fax |
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Provider Business Mailing Address
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Address Line | PLAZA UNIVERSIDAD 2000 APARTMENT 622
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City | SAN JUAN
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State | PR
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Zip | 00925
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICINE DOCTOR
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Name | MELIZA MARTINEZ
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Credential |
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Telephone | 787-547-6355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 26307
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License Number State | PR
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