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General NPI Number Information
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NPI Number | 1710010996
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Entity Type | Organization
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Legal Business Name | GRUPO DE SALUD PRIMARIA-UPR RIO PIEDRAS
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | AVE. PONCE DE LEON APTDO. 23307
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City | RIO PIEDRAS
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State | PR
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Zip | 00931-3307
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Country | US
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Telephone | 787-758-2525
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Fax | 787-274-8156
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Provider Business Mailing Address
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Address Line | PO BOX 23307
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City | SAN JUAN
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State | PR
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Zip | 00931-3307
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Country | US
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Telephone | 787-758-2525
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Fax | 787-274-8156
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MRS. MYRIAM TROCHE
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Credential | RHIA
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Telephone | 787-758-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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