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General NPI Number Information
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NPI Number | 1750638839
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Entity Type | Organization
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Legal Business Name | PREVENTIVE MEDICAL CARE SERVICES, PSC
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 205 AVE LAURO PINERO
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City | CEIBA
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State | PR
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Zip | 00735-2701
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Country | US
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Telephone | 787-885-4446
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Fax | 787-885-6129
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Provider Business Mailing Address
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Address Line | PO BOX 1001
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City | LUQUILLO
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State | PR
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Zip | 00773-1001
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Country | US
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Telephone | 787-885-4446
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. ANGEL S MUNTANER-MORALES
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Credential | M.D.
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Telephone | 787-487-2194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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