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General NPI Number Information
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NPI Number | 1922076488
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Entity Type | Individual
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Provider Name | JUAN C. NEGRON - RIVERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | HOSPITAL ONCOLOGICO - CUARTO PISO, MEDICINA NUCLEAR CENTRO MEDICO DE PR, BO. MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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Country | US
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Telephone | 787-758-3408
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Fax | 787-622-7852
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Provider Business Mailing Address
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Address Line | PO BOX 365067 MEDICINA NUCLEAR RCM
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City | SAN JUAN
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State | PR
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Zip | 00936-5067
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Country | US
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Telephone | 787-758-3408
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Fax | 787-622-7852
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 7038
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 7038
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License Number State | PR
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