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General NPI Number Information
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NPI Number | 1518444637
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Entity Type | Individual
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Provider Name | EILEEN NATALIE GUZMAN
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Gender | Female
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Dates
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Enumeration Date | 07/21/2018
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 388 ZONA IND REPARADA 2
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City | PONCE
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State | PR
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Zip | 00716-2347
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Country | US
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Telephone | 787-840-2575
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Fax |
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Provider Business Mailing Address
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Address Line | PARQUE DE BUCARE II CALLE TAINA #1
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City | GUAYNABO
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State | PR
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Zip | 00969
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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 |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34701
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 22341
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 22341
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 22341
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License Number State | PR
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