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General NPI Number Information
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NPI Number | 1780893032
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Entity Type | Organization
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Legal Business Name | HOFFA HEATHCARE INC.
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 150 AVE DE DIEGO SAN JUAN HEATHCENTRE BLDG. SUITE 507
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City | SAN JUAN
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State | PR
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Zip | 00907-2300
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Country | US
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Telephone | 787-724-6565
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Fax | 787-721-5028
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Provider Business Mailing Address
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Address Line | PO BOX 12330
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City | SAN JUAN
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State | PR
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Zip | 00914-8330
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Country | US
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Telephone | 787-724-6565
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Fax | 787-721-5028
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LUIS FRANCISCO HERNANDEZ
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Credential | LCDO.
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Telephone | 787-724-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 121762
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License Number State | PR
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