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General NPI Number Information
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NPI Number | 1013365121
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Entity Type | Individual
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Provider Name | JOSE CARLOS BORRERO CUELLO MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | URB LOS MAESTROS 132 HIJA DEL CARIBE
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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 | 616-570-9897
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Fax |
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Provider Business Mailing Address
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Address Line | URB LOS MAESTROS 132 HIJA DEL CARIBE
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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 | 616-570-9897
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Fax | 616-570-9897
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 21129
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License Number State | PR
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