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General NPI Number Information
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NPI Number | 1750254306
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Entity Type | Organization
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Legal Business Name | PRIVATEMED HEALTH LLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1451 ASHFORD AVE SUITE 113A
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City | SAN JUAN
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State | PR
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Zip | 00907-1511
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Country | US
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Telephone | 939-382-1111
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Fax | 939-382-1111
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Provider Business Mailing Address
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Address Line | 1451 AVE ASHFORD
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City | SAN JUAN
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State | PR
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Zip | 00907-1511
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Country | US
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Telephone | 939-382-1111
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Fax | 939-382-1111
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. JOYCE C ORTIZ
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Credential | MS, CAP
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Telephone | 939-382-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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