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General NPI Number Information
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NPI Number | 1760887285
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Entity Type | Organization
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Legal Business Name | OPR MD MEDICAL SERVICES
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 25 CALLE EDUARTO GEORGETTI
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City | VEGA ALTA
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State | PR
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Zip | 00692
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Country | US
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Telephone | 787-679-5226
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Fax | 787-679-5226
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Provider Business Mailing Address
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Address Line | 125 CALLE CIELO RUBI URB CIELO DORADO
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City | VEGA ALTA
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State | PR
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Zip | 00692-8814
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Country | US
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Telephone | 787-404-3267
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Fax | 787-679-5226
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Authorized Official
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Title or Position | DIRECTOR MEDICO
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Name | DR. MARIA P PARRILLA PABLOS
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Credential | MD
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Telephone | 787-404-3267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | PR
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