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General NPI Number Information
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NPI Number | 1992925804
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Entity Type | Organization
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Legal Business Name | CARIBBEAN NEURORADIOLOGY SERVICES, INC.
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 2053 PONCE BYP CENTRO CARIBE BUILDING 103
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City | PONCE
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State | PR
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Zip | 00717-1306
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Country | US
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Telephone | 787-841-1730
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Fax | 787-841-1725
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Provider Business Mailing Address
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Address Line | 2053 PONCE BYP CENTRO CARIBE BUILDING 103
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City | PONCE
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State | PR
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Zip | 00717-1306
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Country | US
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Telephone | 787-841-1730
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Fax | 787-841-1725
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | LOURDES ROBLEDO
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Credential |
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Telephone | 787-841-1730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 7465
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License Number State | PR
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