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General NPI Number Information
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NPI Number | 1700244241
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Entity Type | Individual
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Provider Name | MARCOS E. CHACON CRUZ MD
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Gender | Male
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | AVE HOSTOS 410 SUITE 120 MAYAGUEZ MEDICAL
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City | MAYAGUEZ
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State | PR
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Zip | 00681
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Country | US
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Telephone | 939-219-4836
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Fax |
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Provider Business Mailing Address
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Address Line | URB BELMONTE CALLE SEGOVIA #99
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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 | 939-219-4836
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 21609
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21609
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License Number State | PR
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