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General NPI Number Information
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NPI Number | 1821180647
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Entity Type | Individual
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Provider Name | JORGE L GUZMAN VILLARONGA MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | HOSPITAL DAMAS 2213 PONCE BYPASS
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City | PONCE
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State | PR
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Zip | 00717-1318
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Country | US
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Telephone | 787-840-8655
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Fax | 787-789-0882
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Provider Business Mailing Address
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Address Line | 1 CALLE TAINA PARQUES DE BUCARE II
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City | GUAYNABO
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State | PR
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Zip | 00969-5119
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Country | US
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Telephone | 787-789-0882
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Fax | 787-789-0882
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 8870
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License Number State | PR
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