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General NPI Number Information
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NPI Number | 1891099388
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Entity Type | Organization
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Legal Business Name | ORD HEALTHCARE SERVICES, PSC
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Dates
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Enumeration Date | 12/27/2010
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 105 AVE ARTERIAL HOSTOS APT. F- PH-1, COND. BAYSIDE COVE
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City | SAN JUAN
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State | PR
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Zip | 00918-2978
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Country | US
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Telephone | 787-535-1001
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Fax | 787-998-0209
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Provider Business Mailing Address
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Address Line | PO BOX 195041
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City | SAN JUAN
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State | PR
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Zip | 00919-5041
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Country | US
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Telephone | 787-448-4662
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Fax | 787-998-0209
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OTTO RIOS DONES
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Credential | MD
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Telephone | 787-448-4662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 8758
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License Number State | PR
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