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General NPI Number Information
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NPI Number | 1639847189
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Entity Type | Individual
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Provider Name | REYNA LIZ SANTIAGO CRESPO MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | C/6 K11A VILLAS DE CASTRO
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-671-3815
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Fax |
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Provider Business Mailing Address
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Address Line | C/6 K11A VILLAS DE CASTRO
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-671-3815
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 24541
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 24541
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License Number State | PR
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