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General NPI Number Information
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NPI Number | 1417912130
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Entity Type | Individual
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Provider Name | JOSE FELIPE GARCIA-TRONCOSO MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 2223 W DR. MARTIN LUTHER KING JR. BLVD SUITE 101
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City | TAMPA
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State | FL
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Zip | 33607-0000
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Country | US
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Telephone | 813-405-4385
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Fax | 813-405-4506
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Provider Business Mailing Address
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Address Line | PO BOX 1551
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City | VILLALBA
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State | PR
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Zip | 00766-1551
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Country | US
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Telephone | 787-847-1211
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Fax | 787-847-2672
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 8454
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License Number State | PR
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