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General NPI Number Information
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NPI Number | 1386993244
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Entity Type | Organization
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Legal Business Name | DR LUIS RAUL RUIZ RIVERA CSP
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 2614 CALLE MAYOR
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City | PONCE
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State | PR
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Zip | 00717-2074
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Country | US
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Telephone | 787-848-4997
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Fax | 787-848-4997
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Provider Business Mailing Address
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Address Line | 2614 CALLE MAYOR
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City | PONCE
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State | PR
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Zip | 00717-2074
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Country | US
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Telephone | 787-848-4997
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Fax | 787-848-4997
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Authorized Official
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Title or Position | ENDOCRINOLOGY
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Name | DR. LUIS R RUIZ
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Credential | M.D.
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Telephone | 787-848-4997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 6090
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License Number State | PR
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