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General NPI Number Information
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NPI Number | 1104879428
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Entity Type | Individual
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Provider Name | JUAN ENRIQUE PEREZ-MONTE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | EDIFICIO BETANCOURT SUITE 302 AVE. FERNNDEZ JUNCOS
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City | SANTURCE
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-727-2738
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Fax | 787-728-4799
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Provider Business Mailing Address
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Address Line | URB. VILLA DE TORRIMAR CALLE REINA ISABEL # 175
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-640-9021
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Fax | 787-801-0094
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 12,871
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License Number State | PR
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