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General NPI Number Information
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NPI Number | 1679232862
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Entity Type | Individual
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Provider Name | FELIPE JOSE FRATICELLI
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Gender | Male
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | CENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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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 | H10 VIA CUMBRES
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City | SAN JUAN
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State | PR
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Zip | 00924-4474
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Country | US
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Telephone | 787-565-1824
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 23172
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License Number State | PR
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