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General NPI Number Information
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NPI Number | 1609760024
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Entity Type | Individual
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Provider Name | FELIX JAVIER HERNANDEZ NIEVES MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/15/2025
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Provider Practice Location Address
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Address Line | 917 AVE TITO CASTRO
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City | PONCE
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State | PR
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Zip | 00716-4717
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Country | US
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Telephone | 787-844-2080
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Fax |
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Provider Business Mailing Address
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Address Line | 171 S ORLANDO AVE STE C
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City | MAITLAND
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State | FL
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Zip | 32751-5653
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Country | US
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Telephone | 203-214-7794
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 37580R
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License Number State | PR
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