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General NPI Number Information
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NPI Number | 1851993133
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Entity Type | Organization
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Legal Business Name | AGUADA MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | CARR. 115 KM. 24.5 BARRIO ASOMANTE
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City | AGUADA
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State | PR
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Zip | 00602-0060
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Country | US
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Telephone | 787-589-7400
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Fax | 787-589-7402
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Provider Business Mailing Address
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Address Line | PO BOX 90
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City | AGUADA
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State | PR
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Zip | 00602-0090
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Country | US
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Telephone | 787-589-7400
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Fax | 787-589-7402
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Authorized Official
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Title or Position | OWNER
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Name | DR. HIRAM J ORTEGA
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Credential | MD
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Telephone | 787-589-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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