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General NPI Number Information
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NPI Number | 1184602781
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Entity Type | Individual
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Provider Name | IVAN GUSTAVO RAMOS MD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | BAYAMON MEDICAL PLAZA CARR #2 SUITE 607
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City | BAYMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 939-577-6396
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Fax | 787-798-9540
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Provider Business Mailing Address
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Address Line | UCAR #14 CIUDAD JARDIN III
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-798-9541
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Fax | 787-798-9540
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 8803
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License Number State | PR
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