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General NPI Number Information
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NPI Number | 1245431634
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Entity Type | Individual
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Provider Name | CARLOS MIGUEL MARRERO VAZQUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | CARR 199 LAS VISTAS SHOPPING VILLAGE SUITE 55
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City | SAN JUAN
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State | PR
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Zip | 00926-5970
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Country | US
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Telephone | 787-766-2929
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Fax | 787-908-5888
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Provider Business Mailing Address
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Address Line | PMB 791 AVE. WINSTON CHURCHILL #138
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City | SAN JUAN
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State | PR
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Zip | 00926-6023
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Country | US
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Telephone | 787-766-2929
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Fax | 787-908-5888
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 14702
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License Number State | PR
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