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General NPI Number Information
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NPI Number | 1205461092
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Entity Type | Organization
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Legal Business Name | GUAYNABO ENDOCRINOLOGY CENTER P.S.C.
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 136 CALLE CARAZO
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City | GUAYNABO
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State | PR
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Zip | 00969-6412
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Country | US
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Telephone | 787-708-6200
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Fax | 787-708-6228
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Provider Business Mailing Address
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Address Line | PO BOX 3972
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City | GUAYNABO
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State | PR
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Zip | 00970-3972
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Country | US
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Telephone |
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Fax | 787-708-6228
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Authorized Official
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Title or Position | MD
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Name | ENRIQUE RAUL MALDONADO CORCHADO
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Credential | MD
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Telephone | 787-708-6200
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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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