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General NPI Number Information
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NPI Number | 1447263165
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Entity Type | Individual
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Provider Name | RAFAEL A. COLON-DIAZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 1 CALLE DOMINGO CACERES E
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City | CAROLINA
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State | PR
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Zip | 00985-6013
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Country | US
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Telephone | 787-757-1190
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Fax | 787-762-8881
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Provider Business Mailing Address
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Address Line | PO BOX 647
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City | CAROLINA
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State | PR
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Zip | 00986-0647
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Country | US
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Telephone | 787-757-1190
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Fax | 787-762-8881
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 1851
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License Number State | PR
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