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General NPI Number Information
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NPI Number | 1689889065
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Entity Type | Organization
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Legal Business Name | LEONEL GUERRERO RODRIGUEZ
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | SUITE 401 TORRE MEDICA SAN PABLO DEL ESTE
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-863-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CORDOVA PARK BOX 17 BO. TORTUGO
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-863-1212
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEONEL GUERRERO
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Credential | M.D.
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Telephone | 787-863-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 14100
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License Number State | PR
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