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General NPI Number Information
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NPI Number | 1386696292
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Entity Type | Individual
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Provider Name | SARITA MONTES MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 10/21/2013
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Provider Practice Location Address
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Address Line | BLOQUE M-1-B, AVENIDA CONQUISTADOR URB. VALLE VERDE
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-655-7486
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Fax | 787-655-7486
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Provider Business Mailing Address
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Address Line | CALLE MELAO BUZON 237 HACIENDA MARGARITA
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City | LUQUILLO
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State | PR
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Zip | 00773
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Country | US
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Telephone | 787-655-7486
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 11387
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License Number State | PR
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