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General NPI Number Information
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NPI Number | 1689469736
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Entity Type | Organization
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Legal Business Name | STARPA MEDICAL SERVICE LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | JESUS T. PINERO BULDING FERNANDEZ JUNCOS AVENUE BO PUEBLO
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-647-9641
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Fax |
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Provider Business Mailing Address
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Address Line | VALLES DEL LAGO CALLE GUAJATACA 1069
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-647-9641
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PEDRO RIVERA CABALLERO
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Credential | MD
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Telephone | 787-647-9641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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