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General NPI Number Information
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NPI Number | 1730076993
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Entity Type | Organization
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Legal Business Name | FIT HEALTH PR LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1519 AVE PONCE DE LEON STE 720
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City | SAN JUAN
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State | PR
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Zip | 00909-1718
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Country | US
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Telephone | 939-397-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CALLE UN APT 305
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City | GUAYNABO
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State | PR
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Zip | 00969-8007
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Country | US
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Telephone | 787-467-0013
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MISS JENNIFER CARDONA PABON
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Credential |
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Telephone | 787-467-0013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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