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General NPI Number Information
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NPI Number | 1740322676
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Entity Type | Organization
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Legal Business Name | SALUD A TU ALCANCE, INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 11/25/2021
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Provider Practice Location Address
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Address Line | BO. QUEBRADA LARGA CARR 2 KM 141 HM 9
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-826-4444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2093
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City | ANASCO
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State | PR
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Zip | 00610-3001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY, PHYSICAL THERAPIST
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Name | OSVALDO LOPERENA
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Credential |
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Telephone | 787-826-4444
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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 | 1002
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License Number State | PR
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