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General NPI Number Information
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NPI Number | 1619154283
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Entity Type | Individual
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Provider Name | HECTOR LUIS YORDAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2008
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | CONSTANCIA PLAZA SUITE 103B CARR 2 KM 166.4 BO LAVADERO
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-849-3845
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Fax |
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Provider Business Mailing Address
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Address Line | 902 PARQ FORESTAL
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City | MAYAGUEZ
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State | PR
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Zip | 00682-7543
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Country | US
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Telephone | 787-834-4570
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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 | 208D00000X
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Taxonomy Name | General Practice
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License Number | 16998
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License Number State | PR
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