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General NPI Number Information
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NPI Number | 1437013596
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Entity Type | Organization
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Legal Business Name | DEIDA LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | F1 AVE ANTONIO R BARCELO
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City | CAYEY
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State | PR
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Zip | 00736-3765
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Country | US
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Telephone | 787-247-6056
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Fax |
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Provider Business Mailing Address
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Address Line | URB VILLA FLORENCIA 27
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone |
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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 | NATALLIE JUDITH DEIDA PEREZ
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Credential | MD
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Telephone | 787-247-6056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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