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General NPI Number Information
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NPI Number | 1417478611
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Entity Type | Individual
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Provider Name | FRANCISCO JAVIER SANDOVAL VELAZQUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | CENTRO COMERCIAL RIO PIEDRAS HEIGH AVE. PARANA SUIT 5 1689
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-751-3845
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Fax | 787-985-9025
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Provider Business Mailing Address
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Address Line | CENTRO COMERCIAL RIO PIEDRAS HEIGHTS CALEL PARANA 1689 OFIC 5
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-751-3845
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Fax | 787-294-9976
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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 | 21125
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License Number State | PR
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