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General NPI Number Information
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NPI Number | 1902414477
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Entity Type | Organization
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Legal Business Name | MEDICINA FAMILIAR OTOAO INC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 309 CALLE FERNANDO L GARCIA
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City | UTUADO
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State | PR
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Zip | 00641-3035
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Country | US
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Telephone | 787-615-8365
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Fax |
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Provider Business Mailing Address
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Address Line | 53 CALLE BETANCES
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City | UTUADO
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State | PR
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Zip | 00641-2859
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Country | US
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Telephone | 787-615-8365
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASTRID L ARCE RAMOS
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Credential | MD
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Telephone | 787-615-8365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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