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General NPI Number Information
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NPI Number | 1760883854
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Entity Type | Organization
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Legal Business Name | CARLOS ALCALA
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 239 AVE ARTERIAL HOSTOS CAPITAL CENTER SUR, STE 606
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City | SAN JUAN
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State | PR
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Zip | 00918-1474
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Country | US
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Telephone | 787-250-1193
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Fax | 787-281-6119
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Provider Business Mailing Address
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Address Line | 239 AVE. ARTERIAL HOSTOS CAPITAL CENTER SUR, STE 606
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City | SAN JUAN
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State | PUERTO RICO
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Zip | 00918
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Country | UM
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Telephone | 787-250-1193
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Fax | 787-281-6119
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Authorized Official
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Title or Position | DOCTOR IN MEDICINE
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Name | CARLOS RAFAEL ALCALA MUNOZ
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Credential | M.D.
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Telephone | 787-250-1193
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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 | 008089
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 008089
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License Number State | PR
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