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General NPI Number Information
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NPI Number | 1841684701
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Entity Type | Organization
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Legal Business Name | A.L.U. SOLIDARIDAD
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 03/27/2015
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Provider Practice Location Address
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Address Line | 1519 AVE PONCE DE LEON FIRST FEDERAL SAVING BUILDING SUITE 1201
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City | SAN JUAN
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State | PR
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Zip | 00909-1703
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Country | US
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Telephone | 787-721-3444
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Fax | 787-721-3458
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Provider Business Mailing Address
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Address Line | 151PONCE DE LEON AVE FIRST FEDERAL SAVING BUILDING 1201
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-721-3444
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Fax | 787-721-3458
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. UBALDO SANTIAGO
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Credential | M.D.
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Telephone | 787-721-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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