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General NPI Number Information
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NPI Number | 1437625134
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Entity Type | Individual
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Provider Name | ENOC MARTINEZ MORALES
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Gender | Male
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | CERRO LAS MESAS, PR-349 KM. 2.7 HOSPITAL BELLA VISTA
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City | MAYAGUEZ
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State | PUERTO RICO
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Zip | 00680
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Country | UM
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Telephone | 787-834-6000
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Fax |
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Provider Business Mailing Address
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Address Line | HOSPITAL BELLA VISTA, CERRO LAS MESAS, PR-349 KM. 2.7
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City | MAYAGUEZ
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State | PR
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Zip | 00680-8321
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Country | US
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Telephone | 787-834-6000
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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 | 24483
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License Number State | PR
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