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General NPI Number Information
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NPI Number | 1245565696
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Entity Type | Individual
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Provider Name | IVAN ENRIQUE LABOY-ORTIZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | AVE LAS AMERICAS BS4 BAIROA
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City | CAGUAS
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State | PR
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Zip | 00725-5819
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Country | US
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Telephone | 787-746-7066
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9341
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City | CAGUAS
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State | PR
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Zip | 00726-9341
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Country | US
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Telephone | 787-510-0398
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Fax | 939-337-5287
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 18331
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License Number State | PR
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