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General NPI Number Information
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NPI Number | 1679066435
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Entity Type | Individual
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Provider Name | DANNEL DIAZ RUIZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 313 CALLE PIRINEO MIRADERO HILLS
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-477-8410
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | UTUADO
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State | PR
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Zip | 00641-0425
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Country | US
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Telephone | 787-477-8410
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35253-R
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 14699-I
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 23235
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License Number State | PR
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