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General NPI Number Information
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NPI Number | 1801294210
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Entity Type | Organization
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Legal Business Name | PADMA IMAGING CENTER
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Dates
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Enumeration Date | 12/17/2014
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Last Update Date | 12/17/2014
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Provider Practice Location Address
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Address Line | 482 CALLE CESAR GONZALEZ
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City | SAN JUAN
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State | PR
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Zip | 00918-2627
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Country | US
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Telephone | 787-751-5685
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Fax |
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Provider Business Mailing Address
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Address Line | URBANIZACION EL RETIRO 85 AGRICULTURA
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City | CAGUAS
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State | PUERTO RICO
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Zip | 00725
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Country | UM
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROPIETARIA
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Name | YOLANDA COSTA SOTO
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Credential |
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Telephone | 787-486-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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