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General NPI Number Information
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NPI Number | 1720300171
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Entity Type | Organization
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Legal Business Name | CENTRO DE TERAPIA FISICA GREEN HILLS, PSC
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | CARRETERA ESTATAL PR 54, INT. PR #3 COMMERCE PLAZA. LOCAL 101-C
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City | GUAYAMA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-864-0445
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Fax | 787-864-0511
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Provider Business Mailing Address
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Address Line | PO BOX 1380
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City | GUAYAMA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-864-0445
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Fax | 787-864-0511
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Authorized Official
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Title or Position | PRESIDENTE
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Name | ALBERTO J. CINTRON
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Credential |
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Telephone | 787-235-4456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 612
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License Number State |
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