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General NPI Number Information
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NPI Number | 1063412856
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Entity Type | Individual
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Provider Name | RUBEN DARIO ROSARIO CASTILLO M.D
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | CARR. 116 KM 2.0 BO SABANA YEGUAS
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City | LAJAS
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State | PR
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Zip | 00667-2061
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Country | US
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Telephone | 787-899-2865
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Fax | 787-899-2865
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Provider Business Mailing Address
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Address Line | PO BOX 902
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City | LAJAS
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State | PR
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Zip | 00667-0902
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Country | US
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Telephone | 787-899-2865
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Fax | 787-899-2865
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14435
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License Number State | PR
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