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General NPI Number Information
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NPI Number | 1093314999
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Entity Type | Individual
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Provider Name | JUAN ALEJANDRO AREVALO MD
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Gender | Male
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 100 AVE LUIS MUNOZ MARIN
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City | CAGUAS
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State | PR
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Zip | 00725-6184
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Country | US
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Telephone | 787-620-9770
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Fax |
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Provider Business Mailing Address
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Address Line | 170 CALLE GUAYAMA APT E605
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City | SAN JUAN
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State | PR
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Zip | 00917-4619
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Country | US
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Telephone | 210-837-9505
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17882-I
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PACN54
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2304PA
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TPPA806
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | PEJ270956
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License Number State |
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