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General NPI Number Information
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NPI Number | 1417943960
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Entity Type | Individual
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Provider Name | ALBERTO FERNANDEZ TORRES M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30 CALLE BARCELO
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City | CIDRA
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State | PR
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Zip | 00739-3444
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Country | US
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Telephone | 787-739-4486
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 371205
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City | CAYEY
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State | PR
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Zip | 00737-1205
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Country | US
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Telephone | 787-738-2766
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05183
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License Number State | PR
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