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General NPI Number Information
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NPI Number | 1841251683
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Entity Type | Individual
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Provider Name | MARIA DEL CARMEN BALLESTEROS RAMOS MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | SAN VICENTE 212 CONCORDIA 8169
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City | PONCE
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State | PR
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Zip | 00713-1559
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Country | US
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Telephone | 787-259-4312
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Fax | 787-848-7479
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Provider Business Mailing Address
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Address Line | 3129 EMILIO FAGOT
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City | LA RANBLA
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State | PR
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Zip | 00730-4000
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Country | US
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Telephone | 787-842-1011
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Fax | 787-848-7479
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 10009
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License Number State | PR
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