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General NPI Number Information
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NPI Number | 1831217785
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Entity Type | Individual
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Provider Name | CRISTELLA O GUTIERREZ
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BO. MONACILLO CENTRO MEDICO HOSPITAL SAN JUAN
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 787-765-0521
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Fax |
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Provider Business Mailing Address
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Address Line | SEVILLA BILTMORE I-66 CARR. 20
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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 | 787-765-0521
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 3382
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License Number State | PR
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