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General NPI Number Information
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NPI Number | 1568434850
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Entity Type | Individual
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Provider Name | ANA A PADRO- DIAZ MD
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Gender | Female
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 1121 AVE MUNOZ RIVERA URB VILLA GRILLASCA
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City | PONCE
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State | PR
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Zip | 00717-0635
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Country | US
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Telephone | 787-840-8545
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Fax | 787-840-8545
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Provider Business Mailing Address
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Address Line | 1520 CALLE EMPERATRIZ URB VALLE REAL
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City | PONCE
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State | PR
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Zip | 00716-0502
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Country | US
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Telephone | 787-840-8545
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Fax | 787-840-8545
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 6488
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 6488
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License Number State | PR
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