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General NPI Number Information
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NPI Number | 1376653162
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Entity Type | Individual
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Provider Name | RAFAEL ANTONIO BURGOS CALDERON M.D
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | RIVER TOWN PLAZA LOCAL B 50 AVE LOS FILTROS BO JUAN SANCHEZ
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-798-5090
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Fax |
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Provider Business Mailing Address
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Address Line | URB LOS FRAILES NORTE CALLE 1 J 13
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City | GUAYNABO
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State | PR
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Zip | 00966-3512
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Country | US
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Telephone | 787-925-2024
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 3098
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License Number State | PR
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