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General NPI Number Information
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NPI Number | 1720573181
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Entity Type | Organization
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Legal Business Name | JOSE LUIS SERRANO MONTES, MD, CSP
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | LOTE E A1 CARR 181 REPARTO TRAPICHE
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-9705
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Country | US
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Telephone | 939-202-8277
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Fax |
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Provider Business Mailing Address
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Address Line | HC 645 BOX 5300
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-9705
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Country | US
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Telephone | 939-202-8277
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Fax |
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Authorized Official
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Title or Position | SECRETARIA
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Name | NORELYS RODRIGUEZ MUNIZ
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Credential |
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Telephone | 939-202-8277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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