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General NPI Number Information
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NPI Number | 1790612885
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Entity Type | Organization
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Legal Business Name | ETTHELIUS HEALTHCARE MANAGEMENT LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | URB. PERLA DEL SUR CALLE PASEO DEL SUR 2433 LOCAL 1
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone | 939-217-2022
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Fax | 787-651-3343
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Provider Business Mailing Address
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Address Line | URB. PERLA DEL SUR CALLE PASEO DEL SUR 2433 LOCAL 1
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEAN C CASTRERO CORREA
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Credential | LIC
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Telephone | 939-759-3503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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