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General NPI Number Information
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NPI Number | 1003947540
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Entity Type | Individual
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Provider Name | RICARDO A INFANTE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | LAS AMERICAS PROFESSIONAL CENTER, AVE. DOMENECH 400 SUITE 505
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-753-8266
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Fax | 787-753-8266
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Provider Business Mailing Address
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Address Line | LAS AMERICAS PROFESSIONAL CENTER, AVE. DOMENECH 400 SUITE 505
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-753-8266
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Fax | 787-753-8266
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 16312
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 16312
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 16312
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License Number State | PR
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