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General NPI Number Information
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NPI Number | 1841345410
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Entity Type | Organization
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Legal Business Name | CLINICA DE TERAPIA FISICA FLAMINGO TERRACE
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | A9 CALLE MARGINAL URB FLAMINGO
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-279-0324
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Fax | 787-279-0324
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Provider Business Mailing Address
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Address Line | CARR 167 MARGINAL A-9 FLAMINGO TERRACE
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-279-0324
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Fax | 939-337-6678
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARIA Z GONZALEZ
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Credential | MD
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Telephone | 787-430-1644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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