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General NPI Number Information
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NPI Number | 1184309700
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Entity Type | Organization
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Legal Business Name | AS ENDOCRINOLOGY LLC
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 1801 AVE PONCE DE LEON STE 308
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City | SAN JUAN
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State | PR
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Zip | 00909-1917
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Country | US
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Telephone | 787-726-1100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190152
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City | SAN JUAN
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State | PR
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Zip | 00919-0152
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Country | US
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Telephone | 787-726-1100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADA MARIE SANTIAGO CARRION
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Credential | MD
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Telephone | 787-548-8847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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