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General NPI Number Information
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NPI Number | 1003383399
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Entity Type | Individual
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Provider Name | DEILY SANTIAGO SUAREZ
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Gender | Female
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 132 CALLE JOSE I QUINTON
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City | COAMO
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State | PR
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Zip | 00769-3041
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Country | US
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Telephone | 787-901-0381
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Fax |
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Provider Business Mailing Address
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Address Line | HACIENDA CONCORDIA CALLE CLAVEL 11216
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-901-0381
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 1197
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License Number State | PR
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