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General NPI Number Information
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NPI Number | 1689065708
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Entity Type | Organization
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Legal Business Name | OFICINA MEDICA DR PINTADO P S C
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | 1801 AVE PONCE DE LEON SUITE 203
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City | SAN JUAN
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State | PR
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Zip | 00909-1900
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Country | US
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Telephone | 787-922-6730
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Fax | 787-922-6730
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Provider Business Mailing Address
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Address Line | 530 CAMINO LOS AQUINOS BOX 129
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-7901
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Country | US
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Telephone | 787-922-6730
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Fax | 787-922-6730
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Authorized Official
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Title or Position | INCORPORATOR
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Name | DR. ISIDORO PINTADO-GARCIA
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Credential | MD
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Telephone | 787-922-6730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 009763
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License Number State | PR
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