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General NPI Number Information
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NPI Number | 1003773144
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Entity Type | Individual
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Provider Name | YAZMIN CORDERO CRUZ
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | B-3, CALLE 8 URB LAS MARIAS
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City | SALINAS
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State | PR
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Zip | 00751-2403
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Country | US
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Telephone | 787-674-3487
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Fax |
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Provider Business Mailing Address
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Address Line | 2FQ3/73M, CALLE ACEROLA
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City | COTO LAURE, PONCE
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State | PR
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Zip | 00780
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Country | US
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Telephone | 787-848-2100
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1349
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License Number State | PR
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