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General NPI Number Information
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NPI Number | 1780632505
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Entity Type | Individual
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Provider Name | IVAN EUGENIO DEL TORO MARTINEZ M.D., F.A.C.O.G.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | AVE LUIS MUNOZ MARIN, ESQ DEGETAU H.I.M.A.-SAN PABLO
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City | CAGUAS
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State | PR
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Zip | 00726-4980
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Country | US
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Telephone | 787-653-3434
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Fax |
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Provider Business Mailing Address
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Address Line | C9 CALLE 1 ALTOS DE LA FUENTE
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City | CAGUAS
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State | PR
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Zip | 00727-7313
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Country | US
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Telephone | 787-258-2061
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 5879
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License Number State | PR
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