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General NPI Number Information
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NPI Number | 1508523762
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Entity Type | Organization
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Legal Business Name | IS ENDOCRINOLOGY LLC
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | URB PROFESSIONAL CENTER BUILDING 2 CARR MUNOZ RIVERA ESQUINA GOYCO OFI 310
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-399-9121
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Fax |
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Provider Business Mailing Address
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Address Line | 94 RAMAL 842 APT 127
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City | SAN JUAN
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State | PR
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Zip | 00926-3908
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. IVAN A ALEXANDER SERRANO SANTIAGO
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Credential | MD
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Telephone | 787-399-9121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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