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General NPI Number Information
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NPI Number | 1801563978
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Entity Type | Organization
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Legal Business Name | MAS SALUD MEJOR VIDA, LLC
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | # 1255, 52SE ST. LA RIVIERA,
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 939-289-8035
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 CALLE 52 SE
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City | SAN JUAN
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State | PR
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Zip | 00921-3139
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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 | ADMINISTRADOR
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Name | EDGARDO RAMIREZ
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Credential |
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Telephone | 939-640-5692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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