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General NPI Number Information
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NPI Number | 1770907818
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Entity Type | Organization
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Legal Business Name | CMS HOME CARE SUR, LLC.
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 2004 CARR 506 STE 202 - COTO LAUREL
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City | PONCE
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State | PR
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Zip | 00780-2936
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Country | US
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Telephone | 787-290-1100
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Fax | 787-841-4664
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Provider Business Mailing Address
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Address Line | PO BOX 3569
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City | CAROLINA
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State | PR
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Zip | 00984-3569
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Country | US
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Telephone | 787-290-1100
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Fax | 787-841-4664
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Authorized Official
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Title or Position | CHIEF OPERATIONAL OFFICER
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Name | LINDA J. MENDEZ
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Credential |
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Telephone | 787-620-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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