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General NPI Number Information
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NPI Number | 1447246269
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Entity Type | Organization
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Legal Business Name | GRP RAFAEL SANCHEZ VALENTIN
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29 CALLE WASHINGTON ASHFORD MEDICAL CENTER STE 308
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City | SAN JUAN
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State | PR
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Zip | 00907-1510
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Country | US
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Telephone | 787-725-1603
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Fax | 787-721-0439
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Provider Business Mailing Address
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Address Line | 29 CALLE WASHINGTON ASHFORD MEDICAL CENTER STE 308
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City | SAN JUAN
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State | PR
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Zip | 00907-1510
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Country | US
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Telephone | 787-725-1603
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Fax | 787-721-0439
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. AIDA L SILVA
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Credential |
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Telephone | 787-725-1603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2117
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License Number State | PR
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