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General NPI Number Information
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NPI Number | 1689924615
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Entity Type | Organization
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Legal Business Name | OFICINA CARDIOLOGIA DEL ADULTO, CSP
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | TORRE MEDICA AUXILIO MUTUO SUITE 619 735 AVE PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00919
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Country | US
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Telephone | 787-763-8087
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Fax |
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Provider Business Mailing Address
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Address Line | TORRE MEDICA AUXILIO MUTUO SUITE 619 735 AVE PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00919
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Country | US
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Telephone | 787-763-8087
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA E RAMOS CORTES
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Credential | MD
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Telephone | 787-763-8087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 12969
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License Number State | PR
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