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General NPI Number Information
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NPI Number | 1518089416
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Entity Type | Individual
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Provider Name | RAUL E REYMUNDI-RIVERA MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BO. MONACILLOS HOSPITAL INDUSTRIAL- CENTRO MEDICO
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 787-754-2525
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Fax | 787-767-3968
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Provider Business Mailing Address
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Address Line | FF12 CALLE MAGNOLIA BORINQUEN GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00926-6306
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Country | US
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Telephone | 787-720-2689
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Fax | 787-767-3968
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 25
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License Number State | PR
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