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General NPI Number Information
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NPI Number | 1679772313
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Entity Type | Organization
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Legal Business Name | MONTEHIDRA X RAY
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | MONTEHEIDRA TOWN CTR SUITE 205
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City | SAN JUAN
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State | PR
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Zip | 00926-7007
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Country | US
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Telephone | 787-708-5000
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Fax |
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Provider Business Mailing Address
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Address Line | MONTEHEIDRA TOWN CTR SUITE 205
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City | SAN JUAN
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State | PR
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Zip | 00926-7007
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Country | US
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Telephone | 787-708-5000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CRISTINA ZALDUONDO
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Credential |
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Telephone | 787-596-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 5340
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License Number State | PR
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