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General NPI Number Information
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NPI Number | 1669708244
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Entity Type | Organization
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Legal Business Name | SEGURA MEDICAL MANAGEMENT, INC.
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | HC 3 BOX 10655
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City | GURABO
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State | PR
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Zip | 00778-8624
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Country | US
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Telephone | 787-640-8263
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 10655
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City | GURABO
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State | PR
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Zip | 00778-8624
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Country | US
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Telephone | 787-640-8263
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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 LUIS FLECHA
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Credential | FACHE, MHSA
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Telephone | 787-640-8263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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