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NPI 1669421863

NPI 1669421863 : ANGEL L TORRESS AVILES MD : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1669421863
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    Entity Type          |    Individual 
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    Provider Name        |    ANGEL L TORRESS AVILES MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/08/2006
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    Last Update Date     |    02/11/2014
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Provider Practice Location Address
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    Address Line         |    AVE AMERICO MIRANDA NO 22 BO MONASILLOS
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00922-2129
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    Country              |    US
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    Telephone            |    787-777-3535
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PMB 7 PO BOX 70344 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00936-0344
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    Country              |    US
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    Telephone            |    787-287-1944
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    Fax                  |    787-276-4141
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    8310
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    License Number State |    PR
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