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General NPI Number Information
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NPI Number | 1841329091
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Entity Type | Organization
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Legal Business Name | CARIBBEAN PULMONARY MEDICAL SOCIETY, C.S.P.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 2431 AVE LAS AMERICAS STE 300 EDF A PORRATA PILA
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City | PONCE
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State | PR
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Zip | 00717-2115
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Country | US
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Telephone | 787-840-2160
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Fax | 787-840-2104
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Provider Business Mailing Address
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Address Line | PO BOX 7776
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City | PONCE
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State | PR
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Zip | 00732-7776
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Country | US
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Telephone | 787-840-2160
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Fax | 787-840-2104
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. HELLITZ BELLIDO
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Credential | CCS-P,CMRS
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Telephone | 787-598-1949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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