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General NPI Number Information
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NPI Number | 1497502223
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Entity Type | Individual
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Provider Name | WILBERT SANTANA-JIRAU BSN-RN
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Gender | Male
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | HC 3 BOX 9109
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City | DORADO
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State | PR
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Zip | 00646-9503
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Country | US
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Telephone | 787-388-4519
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 9109
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City | DORADO
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State | PR
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Zip | 00646-9503
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Country | US
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Telephone | 787-388-4519
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 96785
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 96785
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 96785
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License Number State | PR
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