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General NPI Number Information
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NPI Number | 1992401707
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Entity Type | Organization
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Legal Business Name | BNM MEDICAL SERVICES PSC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 31 CALLE CARAZO
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City | GUAYNABO
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State | PR
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Zip | 00969-5708
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Country | US
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Telephone | 787-234-8235
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Fax |
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Provider Business Mailing Address
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Address Line | 1757 CALLE R LOPEZ LANDRON URB. SANTIAGO IGLESIAS
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City | SAN JUAN
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State | PR
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Zip | 00921-4522
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Country | US
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Telephone | 787-234-8235
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | DR. BENNY NIEVES
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Credential | MD
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Telephone | 787-234-8235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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