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General NPI Number Information
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NPI Number | 1689594855
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Entity Type | Organization
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Legal Business Name | VENEGAS MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 909 AVE TITO CASTRO
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City | PONCE
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State | PR
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Zip | 00716-4728
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Country | US
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Telephone | 787-259-0900
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Fax | 787-841-4246
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Provider Business Mailing Address
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Address Line | 909 AVE TITO CASTRO TORRE SAN LUCAS SUITE 513
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City | PONCE
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State | PR
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Zip | 00716-4728
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Country | US
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Telephone | 787-259-0900
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Fax | 787-841-4246
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Authorized Official
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Title or Position | PROPIETARY
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Name | MR. VICTOR MIGUEL RODRIGUEZ-VENEGAS
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Credential | MD
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Telephone | 787-645-2052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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