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General NPI Number Information
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NPI Number | 1245434679
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Entity Type | Individual
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Provider Name | EDGARDO QUINTANA- PAGAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 200 AVE RAFAEL CORDERO SUITE 140 PMB 509
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City | CAGUAS
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State | PR
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Zip | 00725-3740
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Country | US
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Telephone | 787-432-6583
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Fax |
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Provider Business Mailing Address
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Address Line | 20 AVE LMM STE 1 VILLA BLANCA PMB 509
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City | CAGUAS
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State | PR
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Zip | 00725-3740
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Country | US
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Telephone | 787-432-6583
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 237441
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 237441
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 16273
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 16273
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License Number State | PR
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