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General NPI Number Information
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NPI Number | 1922712413
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Entity Type | Organization
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Legal Business Name | GUAYNABO VASCULAR SPECIALISTS LLC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 9 AVE LAS CUMBRES
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City | GUAYNABO
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State | PR
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Zip | 00969-4832
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Country | US
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Telephone | 787-356-3791
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1239
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City | GUAYNABO
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State | PR
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Zip | 00970-1239
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Country | US
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Telephone | 787-356-3791
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEONARDO VALENTIN
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Credential | MD, DABR
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Telephone | 787-356-3791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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