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General NPI Number Information
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NPI Number | 1962654913
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Entity Type | Organization
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Legal Business Name | HOPSITAL ONCOLOGICO DR. ISAAC GONZALEZ MARTINEZ
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | CENTRO MEDICO RIO PIEDRAS BARRRIO MONACILLO
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City | SAN JUAN
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State | PR
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Zip | 00919-1811
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Country | US
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Telephone | 787-763-4149
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 191811
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City | SAN JUAN
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State | PR
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Zip | 00919-1811
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL PRACTITIONER
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Name | ROSALY MARIE DIAZ
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Credential |
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Telephone | 787-734-0494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 17739
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License Number State | PR
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