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General NPI Number Information
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NPI Number | 1013131432
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Entity Type | Organization
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Legal Business Name | NEONATOLOGIST ASSOCIATES, P.S.C.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | PR - 2 KM 173 TORRE SAN VICENTE DE PAUL SUITE 509-510
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 787-892-1920
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Fax | 787-264-2760
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Provider Business Mailing Address
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Address Line | HC 03 BOX 26509
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 787-892-1920
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Fax | 787-264-2760
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. MIGUEL A SUAREZ VILLAMIL
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Credential | M.D.
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Telephone | 787-892-1920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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