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General NPI Number Information
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NPI Number | 1366510059
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Entity Type | Organization
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Legal Business Name | SERVICIOS FISIATRICOS RABER
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | PLAZA OASIS CARR 153 EDIF D6
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-845-3000
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Fax | 787-709-4675
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Provider Business Mailing Address
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Address Line | PO BOX 3000 SUITE 510
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-845-3000
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Fax | 787-709-4675
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RAEL BERNIER SOTO SR.
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Credential | MD
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Telephone | 787-845-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 195583
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME0069343
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 11713
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License Number State | PR
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