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General NPI Number Information
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NPI Number | 1588462857
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Entity Type | Individual
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Provider Name | CORALYSMARIE ROSADO CORTES LMT
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | CARR #2 KM 138.9 BO NARANJO
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-951-0507
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Fax |
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Provider Business Mailing Address
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Address Line | RR 4 BOX 5383
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City | ANASCO
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State | PR
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Zip | 00610-9563
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Country | US
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Telephone | 787-241-1730
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 1120
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License Number State | PR
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