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General NPI Number Information
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NPI Number | 1912999376
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Entity Type | Organization
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Legal Business Name | TRUJILLO MEDICAL THERAPY GROUP
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Dates
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Enumeration Date | 08/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | TRUJILLO ALTO PLZ TRUJILLO MEDICAL, SUITE 201
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-3600
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Country | US
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Telephone | 787-283-2170
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Fax | 787-283-2170
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Provider Business Mailing Address
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Address Line | PO BOX 1892
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City | TRUJILLO ALTO
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State | PR
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Zip | 00977-1892
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Country | US
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Telephone | 787-283-2170
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Fax | 787-283-2170
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NILMA E LUGO-MARCHANY
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Credential | MPT,PT
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Telephone | 787-283-2170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 303
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License Number State | PR
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