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General NPI Number Information
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NPI Number | 1720303522
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Entity Type | Organization
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Legal Business Name | CARIBBEAN NEURORADIOLOGY SERVICES, INC.
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | SAN JORGE MALL CALLE DAMAS, PONCE BY PASS
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-984-1000
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Fax |
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Provider Business Mailing Address
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Address Line | CENTRO CARIBE 103 PONCE BY PASS 2053
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City | PONCE
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State | PR
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Zip | 00717-1307
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Country | US
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Telephone | 787-984-1000
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Fax | 787-841-1725
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REMY RODRIGUEZ
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Credential | M.D.
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Telephone | 787-841-1730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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