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General NPI Number Information
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NPI Number | 1871726232
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL RADIOLOGY CENTER & MEDICAL PSC
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | EDIF INTERNACIONAL DE MERCADEO C-107 PRIMER PISO
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-999-5400
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Fax | 787-999-5401
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Provider Business Mailing Address
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Address Line | EDIF INTERNACIONAL DE MERCADEO PRIMER PISO C-107
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-999-5400
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Fax | 787-999-5401
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OSCAR CRESPO
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Credential | M.D.
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Telephone | 787-999-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | PR
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