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General NPI Number Information
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NPI Number | 1811152481
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Entity Type | Organization
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Legal Business Name | DR. EDUARDO F. ESTELLA, PSC
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | PMB 254 1353 RD 19
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-707-0059
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Fax |
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Provider Business Mailing Address
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Address Line | AVE ORTEGON # 107 CAPARRA GALLERY SUITE 212
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City | GUAYNABO
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State | PR
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Zip | 00966-2508
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Country | US
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Telephone | 787-707-0059
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDUARDO ESTRELLA
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Credential |
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Telephone | 787-707-0059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 14164
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License Number State | PR
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