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General NPI Number Information
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NPI Number | 1790280501
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Entity Type | Individual
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Provider Name | ISABEL IVONNE RODRIGUEZ-CANDELARIO MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 249 AVE LAS MARIAS
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City | SAN JUAN
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State | PR
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Zip | 00927-4224
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Country | US
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Telephone | 787-751-0581
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Fax | 787-985-8312
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Provider Business Mailing Address
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Address Line | PO BOX 1462
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City | GUAYAMA
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State | PR
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Zip | 00785-1462
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Country | US
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Telephone | 787-391-4877
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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 | 21951
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 21951
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License Number State | PR
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