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NPI 1750494217

NPI 1750494217 : DR. GLADYSMARIA FIGUEROA : PONCE, PR

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General NPI Number Information
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    NPI Number           |    1750494217
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    Entity Type          |    Individual 
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    Provider Name        |    DR. GLADYSMARIA FIGUEROA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/17/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1113 AVE MUNOZ RIVERA 
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00717-0635
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    Country              |    US
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    Telephone            |    787-840-6765
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    Fax                  |    787-290-8217
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Provider Business Mailing Address
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    Address Line         |    PO BOX 10419 
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00732-0419
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    Country              |    US
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    Telephone            |    787-840-6765
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    Fax                  |    787-290-8217
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    13390
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    License Number State |    PR
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