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General NPI Number Information
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NPI Number | 1871894261
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Entity Type | Organization
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Legal Business Name | INSTITUTO GINECO-OBSTETRICO UNIVERSITARIO, C.S.P.
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | HOSPITAL UNIVERISTARIO DR. RAMON RUIZ ARNAU CALLE LAUREL # 100 URB. SANTA JUANITA
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-479-8974
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Fax | 787-787-5151
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Provider Business Mailing Address
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Address Line | P.O. BOX 6616
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City | SAN JUAN
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State | PR
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Zip | 00914
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Country | US
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Telephone | 787-479-8974
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Fax | 787-787-5151
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSE ANGEL RIVERA
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Credential | M.D.
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Telephone | 787-479-8974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number | 6399
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License Number State | PR
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