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General NPI Number Information
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NPI Number | 1902161433
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Entity Type | Organization
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Legal Business Name | CARIBBEAN MEDICAL MANAGEMENT
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | O13 AVE JOSE VILLARES
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City | CAGUAS
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State | PR
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Zip | 00725-3145
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Country | US
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Telephone | 787-539-8965
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Fax |
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Provider Business Mailing Address
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Address Line | 189 ST. AVE JOSE VILLARES O-13
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City | CAGUAS
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State | PR
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Zip | 00725-3145
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | MARIO LOZADA
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Credential |
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Telephone | 787-539-8965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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