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General NPI Number Information
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NPI Number | 1538571419
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Entity Type | Individual
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Provider Name | REINALDO RAMIREZ AMILL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | CENTRO MEDICO
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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Country | US
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Telephone | 787-428-5714
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7021
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City | PONCE
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State | PR
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Zip | 00732-7021
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Country | US
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Telephone | 787-428-5714
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 19981
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License Number State | PR
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