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General NPI Number Information
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NPI Number | 1902605686
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Entity Type | Organization
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Legal Business Name | HEALTH ONE
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | AVE DEL PARQUE EDF. BALMORAL PISO 1
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City | SAN JUAN
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State | PR
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Zip | 00911
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Country | US
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Telephone | 787-395-1723
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | BAYAMON
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State | PR
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Zip | 00960-0275
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CCEO
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Name | DR. FRANCISCO GOMEZ
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Credential | MD
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Telephone | 787-345-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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