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General NPI Number Information
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NPI Number | 1790987733
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Entity Type | Organization
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Legal Business Name | GIHRO
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | ROAD 404 K.M.0.1. #126 BO. DAGUEY
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City | ANASCO
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State | PR
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Zip | 00610-0622
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Country | US
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Telephone | 787-826-3037
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Fax | 787-826-3037
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Provider Business Mailing Address
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Address Line | PO BOX 622 CARR 404.K.M.0.1,#126
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City | ANASCO
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State | PR
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Zip | 00610-0622
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Country | US
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Telephone | 787-826-3037
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Fax | 787-826-3037
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MIGUEL A HERNANDEZ RAMIREZ
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Credential | M.D.
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Telephone | 787-646-1618
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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 | 12336
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License Number State | PR
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