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General NPI Number Information
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NPI Number | 1659450500
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Entity Type | Individual
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Provider Name | LUIS ALEXIS GARCIA BARRETO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 450 CALLE FERROCARRIL SANTA MARIA MEDICAL BLDG SUITE 126
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City | PONCE
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State | PR
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Zip | 00717-1194
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Country | US
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Telephone | 787-840-4981
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Fax | 787-840-4981
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Provider Business Mailing Address
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Address Line | 450 CALLE FERROCARRIL SANTA MARIA MEDICAL BLDG SUITE 126
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City | PONCE
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State | PR
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Zip | 00717-1194
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Country | US
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Telephone | 787-840-4981
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Fax | 787-840-4981
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 11735
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License Number State | PR
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