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General NPI Number Information
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NPI Number | 1639147457
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Entity Type | Individual
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Provider Name | ANGELA ELENA SUAREZ-RUIZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 262 CALLE CONVENTO SUITE 1
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City | SAN JUAN
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State | PR
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Zip | 00912-3207
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Country | US
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Telephone | 787-721-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 1552 CALLE PARANA TOWNHOUSE 21
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City | SAN JUAN
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State | PR
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Zip | 00926-2964
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Country | US
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Telephone | 787-763-5973
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 10658
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License Number State | PR
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