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General NPI Number Information
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NPI Number | 1578484366
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Entity Type | Organization
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Legal Business Name | TATTUANNIE BORINQUEN OFFICE PS
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 4 CALLE EMILIO RUIZ
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-2205
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Country | US
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Telephone | 787-280-2225
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Fax | 939-666-0344
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Provider Business Mailing Address
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Address Line | 4 CALLE EMILIO RUIZ
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-2205
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Country | US
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Telephone | 787-280-2225
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Fax | 939-666-0344
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Authorized Official
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Title or Position | MEDICO GENERALISTA
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Name | DR. ANNIE D HERNANDEZ
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Credential | MD
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Telephone | 787-280-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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