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General NPI Number Information
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NPI Number | 1942429162
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Entity Type | Organization
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Legal Business Name | DEL RIO Y MONTESINOS CSP
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 59 CALLE VIRGINIA
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City | MAYAGUEZ
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State | PR
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Zip | 00680-3820
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Country | US
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Telephone | 787-834-6985
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Fax | 787-805-2222
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Provider Business Mailing Address
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Address Line | PO BOX 2891
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City | MAYAGUEZ
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State | PR
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Zip | 00681-2891
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Country | US
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Telephone | 787-834-6985
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE M DEL RIO FERRER
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Credential | M.D.
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Telephone | 787-834-6985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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