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General NPI Number Information
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NPI Number | 1619930682
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Entity Type | Individual
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Provider Name | JOSE RAMON GONZALEZ CHAVEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | SANTURCE MEDICAL MALL AVE.PONCE DE LEON 1801 SUITE#302
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City | SANTURCE
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-727-0060
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Fax | 787-761-4318
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Provider Business Mailing Address
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Address Line | 138 AVE WINSTON CHURCHILL SUITE#423
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City | SAN JUAN
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State | PR
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Zip | 00926-6013
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Country | US
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Telephone | 787-460-0478
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Fax | 787-761-4318
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 5737
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License Number State | PR
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