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General NPI Number Information
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NPI Number | 1922034776
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Entity Type | Organization
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Legal Business Name | HOSPITAL COMUNITARIO BUEN SAMARITANO INC
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | CARR. EST. PR-460, KM. 0.2 BO CAIMITAL BAJO
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-819-0955
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Fax | 787-658-0682
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Provider Business Mailing Address
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Address Line | PO BOX 4055
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City | AGUADILLA
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State | PR
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Zip | 00605-4055
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Country | US
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Telephone | 787-658-0000
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Fax | 787-658-0682
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JESUS NIEVES ROSARIO
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Credential |
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Telephone | 787-658-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 982A
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License Number State | PR
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