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General NPI Number Information
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NPI Number | 1255388534
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Entity Type | Individual
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Provider Name | JOSE M. MARTINO-TRILLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 10 CALLE CASIA
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City | SAN JUAN
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State | PR
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Zip | 00921-3200
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Country | US
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Telephone | 787-647-7582
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Fax |
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Provider Business Mailing Address
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Address Line | 109 CALLE 1 PASEO LAS VISTAS
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City | SAN JUAN
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State | PR
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Zip | 00926-5943
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Country | US
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Telephone | 787-641-7582
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4872
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4872
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 4872
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License Number State | PR
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