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General NPI Number Information
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NPI Number | 1982843652
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Entity Type | Organization
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Legal Business Name | GLORIMAR SANTOS LLANOS PSC
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | EAST MEDICAL & PROFFESSIONAL CENTER CARRETERA #3 KM 19.9
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City | CANOVANAS
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State | PR
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Zip | 00729
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Country | US
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Telephone | 787-256-5555
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Fax | 787-256-5555
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Provider Business Mailing Address
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Address Line | #339 CALLE FLOR DE NONO URB. RIVER GARDENS
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City | CANOVANAS
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State | PR
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Zip | 00729
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Country | US
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Telephone | 787-460-5346
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GLORIMAR SANTOS
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Credential | MD
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Telephone | 787-460-5346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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