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General NPI Number Information
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NPI Number | 1114145604
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Entity Type | Individual
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Provider Name | RAFAEL HIRAM MIGUEZ-BALSEIRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | A-7 DEGETAU AVE. URB. BONEVILLE TERRACE
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-746-5757
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Fax | 787-745-5757
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Provider Business Mailing Address
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Address Line | 1701 CALLE SAN ESTEBAN URB. SAN IGNACIO
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City | SAN JUAN
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State | PR
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Zip | 00927-6555
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Country | US
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Telephone | 787-758-5526
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Fax | 787-758-0110
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5792
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License Number State | PR
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