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General NPI Number Information
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NPI Number | 1841125168
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Entity Type | Individual
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Provider Name | KEYZA SHADARYS CRUZ
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Gender | Female
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | BO NAVARRO, GURABO SECTOR CIELITO K.M 5.4
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-469-9520
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Fax | 787-469-9520
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Provider Business Mailing Address
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Address Line | HC 2 BOX 12259
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City | GURABO
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State | PR
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Zip | 00778-9621
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Country | US
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Telephone | 787-469-9520
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 87686
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License Number State | PR
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