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General NPI Number Information
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NPI Number | 1194642280
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Entity Type | Individual
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Provider Name | ELISAUL TORRES
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Gender | Male
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | HC 645 BOX 6622
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-9743
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Country | US
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Telephone | 787-368-1339
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Fax |
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Provider Business Mailing Address
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Address Line | HC 645 BOX 6622 CALLE 6 CASA 171
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-9743
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Country | US
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Telephone | 787-368-1339
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 063945
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License Number State | PR
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