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General NPI Number Information
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NPI Number | 1336124627
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Entity Type | Individual
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Provider Name | ELFREN F. RIOS SANTIAGO M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | MENDEZ VIGO #275
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City | DORADO
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State | PR
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Zip | 00646-4904
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Country | US
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Telephone | 787-796-6154
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Fax | 787-278-5769
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Provider Business Mailing Address
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Address Line | MENDEZ VIGO #275
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City | DORADO
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State | PR
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Zip | 00646-4904
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Country | US
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Telephone | 787-796-6154
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Fax | 787-278-5769
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 7399
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 62
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License Number State | PR
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