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General NPI Number Information
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NPI Number | 1194723262
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Entity Type | Individual
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Provider Name | OSCAR R QUINTERO SERRANO MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 450 CALLE FERROCARRIL SUITE 302 SANTA MARIA MEDICAL BUILDING
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City | PONCE
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State | PR
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Zip | 00717-1194
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Country | US
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Telephone | 787-844-6669
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Fax | 787-844-6888
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Provider Business Mailing Address
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Address Line | 430 CALLE RUISENOR CAMINOS DEL SUR
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City | PONCE
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State | PR
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Zip | 00716-2829
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Country | US
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Telephone | 787-844-6669
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Fax | 787-844-6888
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 10601
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License Number State | PR
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