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NPI 1225966500

NPI 1225966500 : RAFAEL J SANTIAGO MALDONADO : PONCE, PR

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General NPI Number Information
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    NPI Number           |    1225966500
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    Entity Type          |    Individual 
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    Provider Name        |    RAFAEL J SANTIAGO MALDONADO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/08/2026
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    Last Update Date     |    05/08/2026
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Provider Practice Location Address
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    Address Line         |    2649 CALLE TETUAN 
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00716-2227
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    Country              |    US
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    Telephone            |    787-374-0513
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2649 CALLE TETUAN VILLA DEL CARMEN
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00716-2227
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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        |    246YC3302X
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    Taxonomy Name        |    Physician Office Based Coding Specialist
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    License Number       |    
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    License Number State |    PR
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Taxonomy #2
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    Taxonomy Code        |    246YC3301X
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    Taxonomy Name        |    Hospital Based Coding Specialist
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    License Number       |    
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    License Number State |    PR
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