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General NPI Number Information
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NPI Number | 1801236344
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Entity Type | Organization
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Legal Business Name | ASOCIACION HOSPITAL DEL MAESTRO
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | SERGIO CUEVAS BUSTAMANTE STREET #550, AVE DOMENECH
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-758-8383
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Fax | 787-474-7615
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Provider Business Mailing Address
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Address Line | PO BOX 364708
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City | SAN JUAN
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State | PR
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Zip | 00936-4708
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Country | US
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Telephone | 787-758-8383
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Fax | 787-474-7615
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Authorized Official
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Title or Position | PROGRAM COORDINATOR
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Name | DR. VERONICA RODRIGUEZ
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Credential | MD
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Telephone | 787-758-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 015177-I
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License Number State | PR
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