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General NPI Number Information
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NPI Number | 1710671607
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Entity Type | Organization
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Legal Business Name | SAGESSE LLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 1429 AVE FERNANDEZ JUNCOS
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City | SAN JUAN
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State | PR
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Zip | 00909-2658
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Country | US
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Telephone | 787-722-2371
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Fax | 787-722-2374
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Provider Business Mailing Address
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Address Line | 1304 CALLE WILSON APT 8S
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City | SAN JUAN
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State | PR
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Zip | 00907-2243
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Country | US
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Telephone | 787-536-2033
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | UBALDO G SANTIAGO
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Credential | MD
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Telephone | 787-470-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist 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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 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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Taxonomy #4
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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 #5
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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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Taxonomy #6
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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 #7
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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