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General NPI Number Information
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NPI Number | 1134077118
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Entity Type | Individual
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Provider Name | ARRURO ACEVEDO ORTIZ
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Gender | Male
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | METRO OFFICE PARK ST. 1 BLDG. 6 SUITE 202
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-999-0753
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Fax |
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Provider Business Mailing Address
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Address Line | 23683 W YUMA RD APT D203
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City | BUCKEYE
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State | AZ
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Zip | 85326-3136
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 002993-P.A.
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License Number State | PR
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