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General NPI Number Information
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NPI Number | 1306685623
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Entity Type | Individual
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Provider Name | JOSE L PEREZ RODRIGUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1451 AVE ASHFORD
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City | SAN JUAN
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State | PR
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Zip | 00907-1511
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Country | US
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Telephone | 787-721-2160
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Fax |
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Provider Business Mailing Address
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Address Line | CONDOMINIO METRO PLAZA NUM 303 APT 1902 CALLE VILLAMIL
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-349-9931
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 24704
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License Number State | PR
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