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General NPI Number Information
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NPI Number | 1023212834
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Entity Type | Individual
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Provider Name | FELIX CRUZ VERA MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | CARR.#115,KM.20.0 BARRIO GUAYABO
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-659-4775
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Fax | 787-252-0914
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Provider Business Mailing Address
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Address Line | PO BOX 1462
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City | RINCON
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State | PR
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Zip | 00677-1462
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Country | US
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Telephone | 787-659-4775
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Fax | 787-252-0914
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 16723
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License Number State | PR
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