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General NPI Number Information
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NPI Number | 1245108414
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Entity Type | Organization
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Legal Business Name | DR MEDICAL SERVICE LLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 12 CALLE JOSE C VAZQUEZ
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City | AIBONITO
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State | PR
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Zip | 00705-3307
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Country | US
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Telephone | 787-452-1520
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 15379
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City | AIBONITO
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State | PR
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Zip | 00705-9617
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Country | US
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Telephone | 787-452-1520
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. MARALYS N ESPARRA GONZALEZ
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Credential | MD
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Telephone | 787-452-1520
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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 |
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License Number State |
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