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General NPI Number Information
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NPI Number | 1316000458
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Entity Type | Individual
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Provider Name | HOSTOS FERNANDEZ CAAMANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 CALLE HERNAN ALVAREZ PLAZA METROPOLITANA SUITE 209
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City | SAN GERMAN
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State | PR
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Zip | 00683-4173
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Country | US
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Telephone | 787-892-5099
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Fax | 787-892-7750
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | SAN GERMAN
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State | PR
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Zip | 00683-0099
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Country | US
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Telephone | 787-892-5099
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Fax | 787-892-7750
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 9554
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License Number State | PR
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