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General NPI Number Information
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NPI Number | 1033525480
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Entity Type | Individual
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Provider Name | LUIS GARCIA PAREDES
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Gender | Male
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 09/15/2024
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Provider Practice Location Address
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Address Line | 1462 CALLE PROF AUGUSTO RODRIGUEZ
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City | SAN JUAN
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State | PR
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Zip | 00909-2199
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Country | US
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Telephone | 787-641-1616
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 270246
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City | SAN JUAN
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State | PR
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Zip | 00927-6211
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Country | US
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Telephone |
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 021235
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License Number State | PR
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