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General NPI Number Information
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NPI Number | 1174839179
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Entity Type | Individual
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Provider Name | MIGUEL GABRIEL ECHEVARRIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | CENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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Country | US
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Telephone | 787-777-3535
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Fax |
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Provider Business Mailing Address
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Address Line | QUINTAS DE MONSERRATE STREET 7 #31
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City | PONCE
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State | PR
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Zip | 00732-7004
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Country | US
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Telephone | 787-505-4136
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME136599
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 18473
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License Number State | PR
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