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General NPI Number Information
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NPI Number | 1548688476
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Entity Type | Individual
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Provider Name | NATALIA D BURGOS POLANCO
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Gender | Female
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 716 AVE PONCE DE LEON STE 203
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City | SAN JUAN
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State | PR
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Zip | 00918-4510
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Country | US
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Telephone | 787-767-6455
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Fax |
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Provider Business Mailing Address
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Address Line | 70 PRINCIPE RAINIERO ESTANCIAS REALES
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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 | 787-949-0243
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 023055
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License Number State | PR
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