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General NPI Number Information
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NPI Number | 1699028720
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Entity Type | Organization
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Legal Business Name | ZRA, INC
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Dates
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Enumeration Date | 10/26/2012
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | SUITE 112 EDIFICIO GUAYACAN CALLE JULIO CINTRON 204
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 787-538-7264
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1497
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 787-954-7711
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Fax | 787-954-7710
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RICARDO ZAYAS
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Credential |
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Telephone | 787-954-7711
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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 |
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License Number State |
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