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General NPI Number Information
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NPI Number | 1588688923
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Entity Type | Individual
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Provider Name | MARIANELA CUADRADO M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 1451 AVE ASHFORD
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City | SAN JUAN
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State | PR
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Zip | 00907-1511
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Country | US
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Telephone | 787-722-2915
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Fax |
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Provider Business Mailing Address
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Address Line | HC 5 BOX 6085
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City | AGUAS BUENAS
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State | PR
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Zip | 00703
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Country | US
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Telephone | 787-644-3860
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Fax | 787-924-0751
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 14601
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License Number State | PR
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