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General NPI Number Information
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NPI Number | 1891401832
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Entity Type | Organization
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Legal Business Name | MINISTERIO RENOVAOS
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | BO. HATO NUEVO SECTOR LA PAJILLA CARR. 173 KM 6.2
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City | GUAYNABO
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State | PR
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Zip | 00970
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Country | US
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Telephone | 787-790-6867
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Fax |
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Provider Business Mailing Address
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Address Line | BO. HATO NUEVO SECTOR LA PAJILLA CARR. 173 KM 6.2
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City | GUAYNABO
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State | PR
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Zip | 00970
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Country | US
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Telephone | 787-790-6867
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CARLOS RIVERA
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Credential |
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Telephone | 787-790-6867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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