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General NPI Number Information
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NPI Number | 1912395914
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Entity Type | Organization
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Legal Business Name | IGR MEDICAL SERVICES PSC
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 375 AVE GENERAL VALERO SUITE 105
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City | FAJARDO
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State | PR
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Zip | 00738-4893
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Country | US
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Telephone | 787-435-1826
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Fax |
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Provider Business Mailing Address
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Address Line | HC 66 BOX 8316
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City | FAJARDO
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State | PR
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Zip | 00738-9708
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Country | US
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Telephone | 787-435-1826
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | DR. IOLANI GARCIA ROSARIO
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Credential | MD
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Telephone | 787-435-1826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18330
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License Number State | PR
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