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General NPI Number Information
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NPI Number | 1801050711
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Entity Type | Individual
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Provider Name | CARMEN MILAGROS NEVARES M.D
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | AVE PONCE DE LEON # 1717 2208 PLAZA INMACULADA 2
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City | SAN JUAN
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State | PR
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Zip | 00907-3380
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Country | US
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Telephone | 787-587-8491
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Fax | 787-268-3704
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Provider Business Mailing Address
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Address Line | AVE PONCE DE LEON # 1717 2208 PLAZA INMACULADA 2
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City | SAN JUAN
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State | PR
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Zip | 00907-3380
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Country | US
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Telephone | 787-587-8491
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Fax | 787-268-3704
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 2909
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License Number State | PR
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