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General NPI Number Information
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NPI Number | 1073457354
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Entity Type | Organization
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Legal Business Name | RAJ PHYSIATRY LLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 31 AVE JOSE GARRIDO STE L-32
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City | CAGUAS
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State | PR
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Zip | 00725-1943
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Country | US
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Telephone | 787-746-3848
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 859
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City | GURABO
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State | PR
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Zip | 00778-0859
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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 | PRESIDENT
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Name | RICARDO ALEXIS AYALA JIMENEZ
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Credential | MD
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Telephone | 787-341-0454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number |
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License Number State |
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