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General NPI Number Information
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NPI Number | 1629073531
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Entity Type | Individual
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Provider Name | JULIO A CALCANO-PEREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 04/13/2024
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Provider Practice Location Address
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Address Line | CARR. 1 KM 23.7 BARRIO RIO
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City | GUAYNABO
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State | PR
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Zip | 00965
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Country | US
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Telephone | 787-731-1515
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Fax | 787-731-6267
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Provider Business Mailing Address
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Address Line | HC 1 BOX 29030 PMB 119
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City | CAGUAS
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State | PR
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Zip | 00725-8900
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Country | US
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Telephone | 787-731-1515
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Fax | 787-731-6267
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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 | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | 3842
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 3842
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 3842
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License Number State | PR
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