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General NPI Number Information
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NPI Number | 1225849508
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Entity Type | Individual
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Provider Name | RICARDO ANDRES NEGRON CENTENO MD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | CARR 21 #1785 AVE LAS LOMAS #21
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City | SAN JUAN
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State | PR
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Zip | 00922
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Country | US
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Telephone | 787-782-9999
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Fax |
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Provider Business Mailing Address
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Address Line | COND. LOS NARDOS, CALLE ORTA APT 4F
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-367-1545
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 002031-P.A.
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License Number State | PR
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