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General NPI Number Information
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NPI Number | 1811904667
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Entity Type | Individual
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Provider Name | EILEEN ZAYAS SERRANO M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | PLAZA CAPARRA SHOPPING CENTER SUITE 210-A ROOSEVELT AVE & PARKSIDE ST
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-298-2893
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 367373
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City | SAN JUAN
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State | PR
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Zip | 00936-7373
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Country | US
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Telephone | 787-298-2893
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13929
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License Number State | PR
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