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General NPI Number Information
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NPI Number | 1215547518
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Entity Type | Individual
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Provider Name | LUIS XAVIER MAYOL VELEZ MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | KM 8.3 CALLE 3, AV. 65 DE INFANTERIA
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City | CAROLINA
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State | PR
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Zip | 00984
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Country | US
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Telephone | 787-757-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 17 RES CABIYA
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City | CIALES
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State | PR
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Zip | 00638-2116
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Country | US
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Telephone |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 23403
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License Number State | PR
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