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General NPI Number Information
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NPI Number | 1982219069
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Entity Type | Organization
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Legal Business Name | DIGIIMED LLC
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 628 CALLE ALDEBARAN ALTAMIRA
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City | SAN JUAN
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State | PR
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Zip | 00920-0092
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Country | US
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Telephone | 787-622-6836
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Fax | 787-622-6839
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Provider Business Mailing Address
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Address Line | PO BOX 2500
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City | GUAYNABO
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State | PR
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Zip | 00970-2500
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Country | US
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Telephone | 787-622-6836
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Fax | 787-622-6839
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE A ALVAREZ
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Credential |
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Telephone | 787-622-6836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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