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General NPI Number Information
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NPI Number | 1730848771
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Entity Type | Individual
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Provider Name | WANDALIZ MILAN ALVAREZ MD
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Gender | Female
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Dates
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Enumeration Date | 12/16/2021
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | AVE. HOSTOS #410 CARRETERA #2, BO SABALOS
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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 | 787-652-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 219 AVE MONTEMAR
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City | AGUADILLA
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State | PR
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Zip | 00603-5559
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Country | US
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Telephone | 939-254-3570
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 37302-R
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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