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General NPI Number Information
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NPI Number | 1578426649
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Entity Type | Individual
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Provider Name | RAUL SANTIAGO COLON
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Gender | Male
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | CALLE 435 BALBOA TOWN HOUSE #100 A-5
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City | CAROLINA
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State | PR
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Zip | 00986
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Country | US
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Telephone | 787-810-7002
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Fax | 787-565-0920
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Provider Business Mailing Address
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Address Line | CALLE 435 BALBOA TOWN HOUSE #100 A-5
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City | CAROLINA
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State | PR
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Zip | 00986
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Country | US
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Telephone | 787-810-7002
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Fax | 787-565-0920
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | PR
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