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General NPI Number Information
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NPI Number | 1992291678
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Entity Type | Organization
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Legal Business Name | HERNANDEZ X-RAY CENTER LLC
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 907 CALLE MUNOZ RIVERA
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City | PENUELAS
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State | PR
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Zip | 00624-1401
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Country | US
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Telephone | 787-913-0429
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Fax |
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Provider Business Mailing Address
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Address Line | 907 CALLE MUNOZ RIVERA
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City | PENUELAS
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State | PR
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Zip | 00624-1401
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Country | US
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Telephone | 787-913-0429
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | NORBERTO RODRIGUEZ CARABALLO
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Credential |
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Telephone | 787-320-8583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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