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General NPI Number Information
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NPI Number | 1487193041
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Entity Type | Individual
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Provider Name | YESENIA LYMARIS FUENTES PEREZ MD
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Gender | Female
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 340 CALLE ASHLEY URB. VEGA SERENA
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City | VEGA BAJA
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State | PR
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Zip | 00693-5878
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Country | US
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Telephone | 787-621-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 340 CALLE ASHLEY
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City | VEGA BAJA
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State | PR
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Zip | 00693-5878
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Country | US
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Telephone | 787-221-7183
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 14343-I
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 23784
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License Number State | PR
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