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General NPI Number Information
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NPI Number | 1487767620
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Entity Type | Individual
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Provider Name | ROLANDO JAVIER CRUZ M.D
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | TORRE MEDICA AUXILIO MUTUO SUITE 717 AVE. PONCE DE LEON # 735
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 787-201-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 21 PASEO LAS PALMAS CALLE PRIMAVERA
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-484-3600
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15278
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License Number State | PR
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