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General NPI Number Information
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NPI Number | 1710876842
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Entity Type | Organization
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Legal Business Name | SEGARRA MED LLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2 CALLE COLON
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City | SAN GERMAN
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State | PR
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Zip | 00683-3911
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Country | US
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Telephone | 787-892-5922
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Fax | 787-892-7073
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Provider Business Mailing Address
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Address Line | PO BOX 1267
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City | SAN GERMAN
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State | PR
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Zip | 00683-1267
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Country | US
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Telephone | 787-892-5922
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Fax | 787-892-7073
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Authorized Official
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Title or Position | MD
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Name | DR. AMAURY SEGARRA TORRES
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Credential |
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Telephone | 787-450-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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