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General NPI Number Information
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NPI Number | 1851032973
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Entity Type | Organization
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Legal Business Name | MEDICA HEALTH
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | CARRETERA 172
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City | CAGUAS
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State | PR
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Zip | 00726
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Country | US
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Telephone | 787-653-0550
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Fax |
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Provider Business Mailing Address
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Address Line | PASEO MAYOR A 3 CALLE 2
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-667-1976
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | ANGEL DEFENDINI
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Credential | MD
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Telephone | 787-667-1976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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