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General NPI Number Information
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NPI Number | 1760371868
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Entity Type | Organization
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Legal Business Name | SALUD INTEGRAL EN LA MONTANA, INC.
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | VISTA PLAZA LOTS 81-82 STREET C
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-869-5900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 515
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City | NARANJITO
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State | PR
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Zip | 00719-0515
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Country | US
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Telephone | 787-869-5900
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GLORIA DEL C AMADOR FERNANDEZ
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Credential |
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Telephone | 787-869-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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