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General NPI Number Information
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NPI Number | 1528475415
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Entity Type | Organization
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Legal Business Name | DM INFECTIOUS DISEASES, PSC
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Dates
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Enumeration Date | 07/13/2014
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 550 SERGIO CUEVAS
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-282-8778
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 123 AVE. LUIS VIGOREAUX 1353
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-282-8778
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Fax | 787-763-5885
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Authorized Official
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Title or Position | PRESIDENT
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Name | DORIS MARIA PEREZ-TORRES
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Credential | MD
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Telephone | 787-510-7837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 16481
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License Number State | PR
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