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NPI 1356847107

NPI 1356847107 : MIGUEL JAVIER ANZALOTA DEL TORO MD, MPH : GUAYNABO, PR

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General NPI Number Information
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    NPI Number           |    1356847107
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    Entity Type          |    Individual 
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    Provider Name        |    MIGUEL JAVIER ANZALOTA DEL TORO MD, MPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/02/2018
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    Last Update Date     |    02/07/2025
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Provider Practice Location Address
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    Address Line         |    9 AVE LAS CUMBRES PR 199 KM 1.3 SUITE 14
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    City                 |    GUAYNABO
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    State                |    PR
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    Zip                  |    00971-4833
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    Country              |    US
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    Telephone            |    787-438-3377
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1353 AVE LUIS VIGOREAUX PMB 531
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    City                 |    GUAYNABO
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    State                |    PR
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    Zip                  |    00966-3733
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    Country              |    US
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    Telephone            |    787-438-3377
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    22639
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    License Number State |    PR
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    22639
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    License Number State |    PR
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