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General NPI Number Information
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NPI Number | 1194573030
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Entity Type | Individual
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Provider Name | JANELISSE M QUINTERO GONZALEZ MD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2024
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | CARR 21 NUM 1785, AVE LAS LOMAS #21 HOSPITAL METROPOLITANO
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City | SAN JUAN
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State | PR
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Zip | 00922
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Country | US
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Telephone | 787-782-9999
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Fax |
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Provider Business Mailing Address
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Address Line | Q1 CALLE COLONIAL
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City | SAN JUAN
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State | PR
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Zip | 00926-2130
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Country | US
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Telephone | 787-506-5801
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2130
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 24601
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License Number State | PR
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