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General NPI Number Information
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NPI Number | 1497193924
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Entity Type | Individual
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Provider Name | JOSE MANUEL PEREZ YORDAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | CARR 172 CAGUAS A CIDRA URB TURABO GARDENS SUITE 108
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City | CAGUAS
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State | PR
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Zip | 00726
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Country | US
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Telephone | 787-486-0529
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Fax |
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Provider Business Mailing Address
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Address Line | 138 AVE WINSTON CHURCHILL STE 811
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City | SAN JUAN
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State | PR
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Zip | 00926-6013
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Country | US
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Telephone | 787-486-0529
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD2017-0907
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | ME145616
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 19329
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License Number State | PR
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