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General NPI Number Information
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NPI Number | 1790301984
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Entity Type | Organization
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Legal Business Name | CLINICA TODO SALUD - AIBONITO, LLC
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | CARR 725 KM 0.5 BO LLANOS PARQUE INDUSTRIAL L-238-0-61
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City | AIBONITO
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State | PR
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Zip | 00705-3526
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Country | US
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Telephone | 787-545-7073
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70105
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City | SAN JUAN
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State | PR
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Zip | 00936-8014
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Country | US
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Telephone | 787-545-7073
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Fax | 787-620-5379
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Authorized Official
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Title or Position | VP OF CLINICS
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Name | MARCOS AGUILA SASTRE
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Credential | MHSA
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Telephone | 787-622-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service 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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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