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General NPI Number Information
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NPI Number | 1922060508
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Entity Type | Organization
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Legal Business Name | ANGEL'S CARDIOVASCULAR SERVICE, INC.
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 690 CALLE CESAR GLEZ
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City | SAN JUAN
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State | PR
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Zip | 00918-3902
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Country | US
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Telephone | 787-403-0237
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Fax | 787-764-7099
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Provider Business Mailing Address
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Address Line | P.O BOX 193994
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City | SAN JUAN
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State | PR
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Zip | 00919-3994
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Country | US
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Telephone | 787-403-0237
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Fax | 787-764-7099
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Authorized Official
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Title or Position | PRESIDENTA
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Name | PROF. NATACHA SOMOZA
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Credential | TEC. CARDIOVASCULAR
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Telephone | 787-403-0237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | PR
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