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General NPI Number Information
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NPI Number | 1861703464
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Entity Type | Organization
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Legal Business Name | SAN PABLO DEVELOPERS INC
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | STREET 70 EDIFICIO DR ARTURO CADILLA SUITE 102
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City | BAYAMON
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State | PR
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Zip | 00960-0102
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Country | US
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Telephone | 787-269-2442
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Fax | 787-785-9558
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Provider Business Mailing Address
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Address Line | PO BOX 1186
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City | BAYAMON
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State | PR
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Zip | 00960-1186
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Country | US
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Telephone | 787-269-2442
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Fax | 787-785-9558
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JUAN M PAGAN
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Credential | MHSA
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Telephone | 787-269-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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