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General NPI Number Information
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NPI Number | 1437268083
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Entity Type | Individual
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Provider Name | LUIS ALEXANDER MIRANDA TORRES MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 201 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA, STE.305
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City | CAGUAS
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State | PR
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Zip | 00725-5527
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Country | US
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Telephone | 787-704-0033
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Fax | 787-704-0090
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Provider Business Mailing Address
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Address Line | 35 JUAN C BORBON ST 67 PMB 327
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-704-0033
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Fax | 787-704-0090
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 12861
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License Number State | PR
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