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General NPI Number Information
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NPI Number | 1033262555
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Entity Type | Individual
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Provider Name | EDGARDO F CARTAGENA AYALA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 369 AVE DE DIEGO SUITE 308 TORRE SAN FRANCISCO
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City | SAN JUAN
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State | PR
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Zip | 00923-0000
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Country | US
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Telephone | 787-767-6777
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Fax | 787-767-6878
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Provider Business Mailing Address
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Address Line | 600 BOULEVARD ARBOLES 401 ARBOLES DE MONTEHIEDRA
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-767-6777
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Fax | 787-767-6878
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 9546
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License Number State | PR
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