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General NPI Number Information
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NPI Number | 1871383703
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Entity Type | Organization
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Legal Business Name | QUIROVIDA LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | CARR #2 KM 134.1 INT 417 BO. GUANABANO EDIFICIO PUCHO POOL CENTER LOCAL 208
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-341-9877
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 31742
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City | AGUADA
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State | PR
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Zip | 00602-9772
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Country | US
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Telephone | 787-341-9877
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Fax |
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Authorized Official
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Title or Position | DOCTOR AND OWNER
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Name | DR. STEPHANIE VAZQUEZ RUIZ
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Credential | DC
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Telephone | 787-341-9877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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