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General NPI Number Information
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NPI Number | 1780890483
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Entity Type | Organization
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Legal Business Name | ROCED INC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 74 CALLE CARAZO
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-287-5119
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Fax | 787-287-5119
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Provider Business Mailing Address
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Address Line | 35 JUAN CARLOS BORBON PMB186 STE67
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City | GUAYNABO
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State | PR
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Zip | 00969-5375
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Country | US
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Telephone | 787-287-5119
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Fax | 787-287-5119
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAFAEL C CEDENO TERRADES
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Credential | M.D.
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Telephone | 787-287-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 112665
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License Number State | PR
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