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General NPI Number Information
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NPI Number | 1104244508
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Entity Type | Individual
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Provider Name | ALBERTO CRIADO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | EDIFICIO SAN VICENTE DE PAUL OF 602 603 CARR. NO 2 KM 173 4
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City | SAN GERMAN
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State | PR
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Zip | 00683-0068
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Country | US
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Telephone | 939-454-4555
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 26523
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City | SAN GERMAN
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State | PR
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Zip | 00683-9301
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Country | US
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Telephone | 939-454-4555
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 0116032647
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 21809
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License Number State | PR
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