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General NPI Number Information
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NPI Number | 1255283909
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Entity Type | Organization
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Legal Business Name | ER PED LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 355 CALLE FONT MARTELO
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City | HUMACAO
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State | PR
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Zip | 00791-3249
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Country | US
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Telephone | 939-640-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 197 CALLE ZORZAL URB MONTEHIEDRA
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City | SAN JUAN
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State | PR
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Zip | 00926-7110
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Country | US
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Telephone | 939-640-6008
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIMARI G FLORES CRUZ
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Credential | MD
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Telephone | 939-640-6008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number |
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License Number State |
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