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General NPI Number Information
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NPI Number | 1124089602
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Entity Type | Individual
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Provider Name | LUIS MOISES TORRES SERRANT DPM
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Gender | Male
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 1995 CARR. 2 SUITE 1201 METRO MEDICAL CENTER
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City | BAYAMON
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State | PR
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Zip | 00959-1201
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Country | US
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Telephone | 787-740-5060
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Fax | 787-798-3388
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Provider Business Mailing Address
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Address Line | 104 CALLE REINA CATALINA
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City | GUAYNABO
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State | PR
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Zip | 00969-3274
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Country | US
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Telephone | 787-607-7677
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 043
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License Number State | PR
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