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General NPI Number Information
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NPI Number | 1619917382
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Entity Type | Individual
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Provider Name | EDWIN ALICEA-COLON MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 563 CALLE CESAR GONZALEZ
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City | SAN JUAN
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State | PR
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Zip | 00918-3712
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Country | US
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Telephone | 787-753-5401
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 OLGA ESPERANZA ST. URB. SAN MARTIN
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City | SAN JUAN
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State | PR
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Zip | 00924-4449
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Country | US
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Telephone | 787-641-7582
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Fax | 787-641-9541
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11791
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 11791
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 11791
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License Number State | PR
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