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General NPI Number Information
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NPI Number | 1871497933
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Entity Type | Organization
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Legal Business Name | ULTRASCAN MOBILE LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 11044 MONTE BELLO
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City | VILLALBA
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State | PR
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Zip | 00766-2357
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Country | US
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Telephone | 939-496-8015
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Fax |
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Provider Business Mailing Address
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Address Line | 11044 MONTE BELLO
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City | VILLALBA
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State | PR
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Zip | 00766-2357
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Country | US
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Telephone | 939-496-8015
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA DEL CARMEN GONZALEZ HERNANDEZ
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Credential | RDMS
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Telephone | 939-496-8015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State | NULL
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