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General NPI Number Information
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NPI Number | 1508786294
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Entity Type | Individual
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Provider Name | ANTONIO DE JESUS MORALES MONTALVO
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Gender | Male
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 100 AVE. LAUREL, SANTA JUANITA, BAYAMON, PR 00956
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-798-3001
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Fax |
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Provider Business Mailing Address
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Address Line | PASEO LOS CORALES II CALLE MAR DEL NORTE 761 DORADO PR 00646
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-329-6369
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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