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General NPI Number Information
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NPI Number | 1912157124
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Entity Type | Individual
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Provider Name | EDWIN J GARCIA LA TORRE MD
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Gender | Male
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | UNIVERSITY DISTRICT HOSPITAL MEDICAL CENTER UDH 2 PO 2116
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City | SAN JUAN
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State | PR
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Zip | 00922-2116
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Country | US
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Telephone | 787-758-1800
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Fax |
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Provider Business Mailing Address
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Address Line | UNIVERSITY DISTRICT HOSPITAL MEDICAL CENTER UDH 2 PO 2116
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City | SAN JUAN
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State | PR
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Zip | 00922-2116
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Country | US
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Telephone | 787-758-1800
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 18140
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 12126 I
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 27559R
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 27958R
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License Number State | PR
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