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General NPI Number Information
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NPI Number | 1780198135
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Entity Type | Organization
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Legal Business Name | COMUNIDAD SALUDABLE DE LA MONTANA
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 39 AVE ROLANDO CABANAS
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City | UTUADO
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State | PR
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Zip | 00641-2494
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Country | US
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Telephone | 787-698-0073
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Fax | 636-303-1822
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Provider Business Mailing Address
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Address Line | PO BOX 1151
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City | UTUADO
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State | PR
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Zip | 00641-1151
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Country | US
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Telephone | 787-698-0073
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Fax | 636-303-1822
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. EMID NUNEZ
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Credential |
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Telephone | 787-698-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | PR
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