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General NPI Number Information
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NPI Number | 1831318674
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Entity Type | Organization
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Legal Business Name | PREDS, CORP
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 10/11/2008
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Provider Practice Location Address
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Address Line | 159 CALLE 14 DE JULIO CDT LUQUILLO
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City | LUQUILLO
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State | PR
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Zip | 00773-2245
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Country | US
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Telephone | 787-889-8800
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Fax |
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Provider Business Mailing Address
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Address Line | ESTANCIAS DE SAN FERNANDO STREET #4 B-17
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-876-2245
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. CARLOS R ALVAREZ
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Credential | MD MHSA
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Telephone | 787-876-2245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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