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General NPI Number Information
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NPI Number | 1437079894
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Entity Type | Individual
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Provider Name | LUIS MANUEL SANTOS VIDOT
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Gender | Male
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 5 CARR 2 # KM
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City | BARCELONETA
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State | PR
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Zip | 00617-3338
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Country | US
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Telephone | 787-846-4583
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 CARR. 686 ATLANTIC VIEW COURT, APT J 204
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-692-9708
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 8699
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License Number State | PR
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