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General NPI Number Information
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NPI Number | 1487858544
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Entity Type | Individual
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Provider Name | ROXANA SOLTERO LUGO M.D
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | HOSPITAL DE LA UPR AVE. 65 DE INFANTERIA CARR. #2 KM. 8.3
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-757-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 23041 KASSIE LN
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City | HOLLYWOOD
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State | MD
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Zip | 20636
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Country | US
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Telephone | 787-649-4169
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 11437I
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 26840R
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD2009-0265
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License Number State | NM
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Taxonomy #4
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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 | 11437I
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License Number State | PR
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