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General NPI Number Information
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NPI Number | 1740364587
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Entity Type | Individual
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Provider Name | JUAN A ALICEA-ROLON MD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | CALLE DR ISAAC GONZALEZ ESQUINA LEDESMA ANEXO HOSPITAL METROPOLITANO
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City | UTUADO
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State | PR
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Zip | 00641-2635
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Country | US
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Telephone | 787-933-2000
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Fax | 787-930-2520
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Provider Business Mailing Address
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Address Line | ARROYO BEACH RESORT APT 15
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City | ARROYO
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State | PR
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Zip | 00714-0000
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Country | US
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Telephone | 787-930-2520
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Fax | 787-848-0318
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 07928
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License Number State | PR
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