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General NPI Number Information
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NPI Number | 1679159057
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Entity Type | Organization
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Legal Business Name | INTER AMERICAN UNIVERSITY OF PUERTO RICO, GUAYAMA CAMPUS
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | BO. MACHETE CARR. 744 KM 1.2
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City | GUAYAMA
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State | PR
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Zip | 00784-0078
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Country | US
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Telephone | 787-864-2222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10004
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City | GUAYAMA
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State | PR
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Zip | 00785-4004
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Country | US
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Telephone | 787-864-2222
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Fax | 787-866-5006
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Authorized Official
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Title or Position | CHANCELLOR
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Name | DR. JOSE M ROMERO
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Credential | ED.D
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Telephone | 787-864-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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