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General NPI Number Information
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NPI Number | 1528139482
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Entity Type | Organization
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Legal Business Name | IMF DE PONCE INC.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1255 PASEO LAS MONJITAS SUITE 210
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City | PONCE
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State | PR
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Zip | 00730-4220
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Country | US
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Telephone | 787-844-6640
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Fax | 787-812-0423
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Provider Business Mailing Address
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Address Line | 1255 PASEO LAS MONJITAS SUITE 210
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City | PONCE
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State | PR
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Zip | 00730-4220
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Country | US
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Telephone | 787-844-6640
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Fax | 787-812-0423
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERARD RAMOS-MARTIN
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Credential | M.D.
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Telephone | 787-844-6640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4766
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License Number State | PR
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