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General NPI Number Information
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NPI Number | 1306977186
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Entity Type | Individual
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Provider Name | LAURA IVETTE GALINDEZ MATOS MD
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | LA RIVIERA 1285 CALLE 54 SE
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City | SAN JUAN
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State | PR
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Zip | 00921-0000
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Country | US
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Telephone | 787-707-7854
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Fax | 787-706-7513
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Provider Business Mailing Address
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Address Line | 89 AVE DE DIEGO PMB 700 SUITE 105
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City | SAN JUAN
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State | PR
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Zip | 00927-6372
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Country | US
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Telephone | 787-707-7854
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Fax | 787-706-7513
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 11380
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License Number State | PR
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