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General NPI Number Information
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NPI Number | 1023095973
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Entity Type | Individual
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Provider Name | ROBERTO LUIS NEVARES MD
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Gender | Male
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 29 WASHINGTON ST STE 203
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City | SAN JUAN
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State | PR
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Zip | 00907-1509
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Country | US
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Telephone | 787-722-6220
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Fax | 787-722-4950
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Provider Business Mailing Address
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Address Line | 29 WASHINGTON ST STE 203
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City | SAN JUAN
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State | PR
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Zip | 00907-1509
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Country | US
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Telephone | 787-722-6220
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Fax | 787-722-4950
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 6844
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 6844
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License Number State | PR
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