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General NPI Number Information
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NPI Number | 1932462991
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Entity Type | Organization
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Legal Business Name | HOSPICIO DIVINA MISERICORDIA CORP.
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Dates
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Enumeration Date | 06/24/2012
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 41 CALLE MUNOZ RIVERA
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City | VEGA ALTA
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State | PR
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Zip | 00692-6533
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Country | US
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Telephone | 787-327-0523
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Fax |
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Provider Business Mailing Address
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Address Line | 41 CALLE MUNOZ RIVERA
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City | VEGA ALTA
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State | PR
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Zip | 00692-6533
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Country | US
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Telephone | 787-327-0523
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. WANDA E. MORENO
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Credential |
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Telephone | 787-516-3107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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