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General NPI Number Information
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NPI Number | 1811870207
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Entity Type | Individual
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Provider Name | JUAN LUIS SANTIAGO CORDERO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | CALLE PUBLICA & PR-2
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-855-3044
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Fax | 787-855-3044
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Provider Business Mailing Address
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Address Line | 393 VILLA BORINQUEN
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City | LARES
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State | PR
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Zip | 00669-2807
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Country | US
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Telephone | 939-380-4141
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43249
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License Number State | FL
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