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General NPI Number Information
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NPI Number | 1669914206
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Entity Type | Organization
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Legal Business Name | UNITED HEALTHCARE S.R.L.
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 86 CALLE JUPITER
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City | VEGA BAJA
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State | PR
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Zip | 00694
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Country | US
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Telephone | 787-597-4477
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 182
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City | VEGA BAJA
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State | PR
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Zip | 00694
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Country | US
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Telephone | 787-597-4477
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MARCELO QUILES
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Credential |
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Telephone | 787-597-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | PR
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