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General NPI Number Information
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NPI Number | 1407648041
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Entity Type | Organization
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Legal Business Name | VEGA BAJA MEDICAL GROUP INC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 66 ENSANCHE SILVA
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City | VEGA BAJA
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State | PR
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Zip | 00694
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Country | US
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Telephone | 787-855-6425
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 204
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City | MERCEDITA
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State | PR
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Zip | 00715-0204
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Country | US
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Telephone | 787-855-6425
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | NESTOR AMAURY PEREZ ARROYO
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Credential | MD
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Telephone | 787-855-6425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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