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General NPI Number Information
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NPI Number | 1215936505
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Entity Type | Individual
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Provider Name | JOSE RADAMES MUNIZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 10 AVE MIGUEL MELENDEZ MUNOZ
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City | CAYEY
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State | PR
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Zip | 00736-4609
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Country | US
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Telephone | 787-263-3138
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Fax | 787-263-2205
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Provider Business Mailing Address
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Address Line | PO BOX 372139
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City | CAYEY
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State | PR
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Zip | 00737-2139
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Country | US
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Telephone | 787-263-3138
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Fax | 787-263-2205
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 7535
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License Number State | PR
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