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General NPI Number Information
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NPI Number | 1154075695
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Entity Type | Individual
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Provider Name | DR. CARLOS MANUEL BONET VAZQUEZ
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Gender | Male
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 156 CALLE BARCELO # 53
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City | BARRANQUITAS
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State | PR
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Zip | 00794-1621
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Country | US
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Telephone | 787-857-2688
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 421
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City | COMERIO
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State | PR
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Zip | 00782-0421
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Country | US
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Telephone | 787-981-8857
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 22903
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License Number State | PR
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 22903
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License Number State | PR
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