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General NPI Number Information
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NPI Number | 1669284758
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Entity Type | Organization
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Legal Business Name | CUSA RADIOLOGY GROUP LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 509 AVE TITO CASTRO
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City | PONCE
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State | PR
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Zip | 00716-0207
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Country | US
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Telephone | 787-856-2157
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 705
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City | MERCEDITA
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State | PR
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Zip | 00715-0705
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Country | US
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Telephone | 787-856-2157
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS CUMMINGS ALVAREZ
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Credential | MD
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Telephone | 787-429-4424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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