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General NPI Number Information
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NPI Number | 1508396243
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Entity Type | Organization
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Legal Business Name | FIGUEROA AMARO MEDICAL GROUP PSC
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 06/15/2017
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Provider Practice Location Address
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Address Line | 893 EIDER STREET COUNTRY CLUB
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City | SAN JUAN
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State | PR
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Zip | 00924-2371
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Country | US
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Telephone | 787-768-6996
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29454
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City | SAN JUAN
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State | PR
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Zip | 00929-0454
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Country | US
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Telephone | 787-768-6996
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALTER FIGUEROA
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Credential | MD
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Telephone | 787-768-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 10297
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10987
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License Number State | PR
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