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General NPI Number Information
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NPI Number | 1811880131
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Entity Type | Organization
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Legal Business Name | MOANES MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1845 CARR 2 BAYAMON MEDICAL PLAZA SUITE 805
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-740-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 104 CALLE REINA CATALINA
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City | GUAYNABO
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State | PR
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Zip | 00969-3274
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Country | US
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Telephone | 787-607-7677
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | DR. LUIS M TORRES
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Credential | DPM
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Telephone | 787-607-7677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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