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NPI 1003114299

NPI 1003114299 : MARIA V ROMERO MARTINEZ MPT : CAROLINA, PR

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General NPI Number Information
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    NPI Number           |    1003114299
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    Entity Type          |    Individual 
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    Provider Name        |    MARIA V ROMERO MARTINEZ MPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/11/2011
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    Last Update Date     |    08/26/2011
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Provider Practice Location Address
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    Address Line         |    CARRETERA 190 KM 1.6 CALLEJON RAMOS BARRIO SABANA ABAJO 
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    City                 |    CAROLINA
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    State                |    PR
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    Zip                  |    00983
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    Country              |    US
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    Telephone            |    787-479-1901
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 29676 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00929-0676
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    Country              |    US
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    Telephone            |    787-479-1901
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1409
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    License Number State |    PR
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