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General NPI Number Information
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NPI Number | 1720020886
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Entity Type | Individual
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Provider Name | JOSE A SERRANO MUNOZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 735 PONCE DE LEON AVE. TORRE MEDICA AUXILIO MUTUO SUITE 702
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City | SAN JUAN
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State | PR
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Zip | 00917-5029
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Country | US
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Telephone | 787-765-7220
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Fax | 787-250-1952
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Provider Business Mailing Address
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Address Line | VILLA CAPARRA, 30 CALLE J
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City | GUAYNABO
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State | PR
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Zip | 00966-2202
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Country | US
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Telephone | 787-923-8498
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Fax | 787-985-1276
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 004028
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License Number State | PR
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