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General NPI Number Information
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NPI Number | 1770580813
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Entity Type | Organization
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Legal Business Name | PRESBYTERIAN COMMUNITY HOSPITAL, INC
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 1451 ASHFORD
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City | SAN JUAN
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State | PR
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Zip | 00907-1511
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Country | US
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Telephone | 787-721-2160
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Fax | 787-723-3797
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Provider Business Mailing Address
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Address Line | PO BOX 9020032
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City | SAN JUAN
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State | PR
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Zip | 00902-0032
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Country | US
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Telephone | 787-721-2160
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Fax | 787-723-3797
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | SARAHI DELVALLE GONZALEZ
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Credential |
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Telephone | 787-721-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 61
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License Number State | PR
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