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General NPI Number Information
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NPI Number | 1760474092
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Entity Type | Individual
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Provider Name | GUILLERMO EMILIO MARTINEZ RIOS MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 05/18/2017
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Provider Practice Location Address
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Address Line | EDIFICIO MEDICO HERMANAS DAVILA 16 CALLE B STE 105
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City | BAYAMON
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State | PR
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Zip | 00959-5041
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Country | US
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Telephone | 787-740-0120
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Fax | 787-785-7787
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Provider Business Mailing Address
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Address Line | EDIFICIO MEDICO HERMANAS DAVILA 16 CALLE B STE 105
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City | BAYAMON
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State | PR
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Zip | 00959-5041
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Country | US
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Telephone | 787-740-0120
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Fax | 787-785-7787
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 8265
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License Number State | PR
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