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General NPI Number Information
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NPI Number | 1922429984
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Entity Type | Organization
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Legal Business Name | CLINICA CARDIOVASCULAR DE LA MONTANA PSC
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 12/18/2013
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Provider Practice Location Address
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Address Line | CALLE DR. TROYERR A-1 URB. VILLA ROSALES
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 787-735-5678
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Fax | 787-735-5678
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Provider Business Mailing Address
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Address Line | PO BOX 1379
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City | AIBONITO
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State | PR
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Zip | 00705-1379
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Country | US
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Telephone | 787-735-5678
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Fax | 787-735-5678
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE O GARCIAS
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Credential | M.D.
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Telephone | 787-735-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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