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General NPI Number Information
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NPI Number | 1457337628
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Entity Type | Individual
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Provider Name | MILTON A. PEREZ RUIZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | BAYAMON MEDICAL PLZ SUITE 311, STATE ROAD #2
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City | BAYAMON
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State | PR
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Zip | 00959-7200
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Country | US
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Telephone | 787-740-3114
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Fax | 787-786-2865
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Provider Business Mailing Address
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Address Line | PO BOX 2009
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City | BAYAMON
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State | PR
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Zip | 00960-2009
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Country | US
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Telephone | 787-740-3114
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Fax | 787-786-2865
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 7923
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License Number State | PR
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