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General NPI Number Information
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NPI Number | 1851420830
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Entity Type | Individual
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Provider Name | COSME DAMIAN SANTOS TORRES M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3011 AVE EMILIO FAGOT VILLA ESPARANZA
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City | PONCE
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State | PR
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Zip | 00716-3637
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Country | US
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Telephone | 787-841-8201
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Fax | 787-841-8201
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Provider Business Mailing Address
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Address Line | PO BOX 331990
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City | PONCE
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State | PR
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Zip | 00733-1990
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Country | US
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Telephone | 787-841-8201
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Fax | 787-841-8201
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 12026
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License Number State | PR
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