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General NPI Number Information
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NPI Number | 1205912631
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Entity Type | Organization
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Legal Business Name | DR. MARIO PAULINO SERV. MED. PED. Y EMERG.
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 253 CALLE SAN JORGE EDIF. SAN JORGE II SUITE 302B
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City | SAN JUAN
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State | PR
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Zip | 00912-3307
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Country | US
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Telephone | 787-727-1000
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Fax | 787-764-9221
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Provider Business Mailing Address
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Address Line | 253 CALLE SAN JORGE EDIF. SAN JORGE II SUITE 302B
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City | SAN JUAN
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State | PR
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Zip | 00912-3307
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Country | US
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Telephone | 939-640-5245
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Fax | 787-764-9221
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Authorized Official
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Title or Position | CEO
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Name | DR. MARIO E PAULINO SR.
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Credential | M.D.
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Telephone | 939-640-5245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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