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General NPI Number Information
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NPI Number | 1912811746
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Entity Type | Organization
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Legal Business Name | ALTIX MEDICAL PR PC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 64 AVENIDA CONDADO STE 3
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City | SAN JUAN
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State | PR
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Zip | 00907-1894
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Country | US
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Telephone | 239-842-6320
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Fax | 645-239-2089
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Provider Business Mailing Address
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Address Line | 301 ALMERIA AVE STE 240
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City | CORAL GABLES
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State | FL
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Zip | 33134-5822
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Country | US
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Telephone | 239-842-6320
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Fax | 645-239-2089
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEO DAMASCO
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Credential | MD
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Telephone | 239-842-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | NULL
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