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General NPI Number Information
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NPI Number | 1700917374
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Entity Type | Organization
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Legal Business Name | BORINQUEN HEALTH CARE, INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 42 CALLE AMISTAD
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City | LAJAS
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State | PR
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Zip | 00667-2058
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Country | US
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Telephone | 787-899-4747
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Fax | 787-899-1611
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Provider Business Mailing Address
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Address Line | PO BOX 610
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City | MAYAGUEZ
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State | PR
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Zip | 00681-0610
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Country | US
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Telephone | 178-789-9474
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Fax | 787-899-1611
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMUEL VAZQUEZ
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Credential |
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Telephone | 17878994747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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