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General NPI Number Information
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NPI Number | 1760884191
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Entity Type | Individual
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Provider Name | LAURA V RODRIGUEZ TORRES M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 410 AVE HOSTOS SUITE 104 MAYAGUEZ MEDICAL CENTER
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City | MAYAGUEZ
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State | PR
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Zip | 00681
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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 | RR 1 BOX 2395
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-306-1795
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19184
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License Number State | PR
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