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General NPI Number Information
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NPI Number | 1902157159
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY SERVICES PSC
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | HIMA PLAZA 1 SUITE 306
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City | CAGUAS
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State | PR
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Zip | 00725-7301
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Country | US
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Telephone | 787-756-6436
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Fax |
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Provider Business Mailing Address
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Address Line | 9203 URB SERENNA
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City | CAGUAS
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State | PR
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Zip | 00727-3318
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Country | US
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Telephone | 787-756-6436
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSE RAMIREZ-VAZQUEZ
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Credential | M.D
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Telephone | 787-756-6436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 7091
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License Number State | PR
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