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General NPI Number Information
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NPI Number | 1760969109
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Entity Type | Organization
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Legal Business Name | UNITED ENDOCRINOLOGY SERVICES
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | U3 CARRETERA 21 URBANIZACION LAS LOMAS
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-518-0478
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 366791
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City | SAN JUAN
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State | PR
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Zip | 00936-6791
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Country | US
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Telephone | 787-518-0478
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIELLY SIERRA MERCADO
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Credential | MD
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Telephone | 787-518-0478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 19192
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License Number State | PR
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