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General NPI Number Information
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NPI Number | 1033460720
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Entity Type | Individual
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Provider Name | HECTOR IVAN CARIDES RN
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Gender | Male
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Dates
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Enumeration Date | 09/21/2012
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | URB. SANTA ROSA C/ INGLATERRA 1355
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City | ISABELA
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State | PR
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Zip | 00662-4764
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Country | US
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Telephone | 787-599-6630
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Fax |
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Provider Business Mailing Address
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Address Line | URB. SANTA ROSA CALLE INGLATERRA 1355
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City | ISABELA
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State | PR
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Zip | 00662-4764
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Country | US
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Telephone | 787-239-7585
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Fax |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 028594
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License Number State | PR
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