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NPI 1922168632

NPI 1922168632 : MARIA MERCEDES SANCHEZ-LONGO M.D. : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1922168632
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    Entity Type          |    Individual 
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    Provider Name        |    MARIA MERCEDES SANCHEZ-LONGO M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/11/2006
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    Last Update Date     |    03/18/2020
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Provider Practice Location Address
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    Address Line         |    HOSPITAL AUXILIO MUTUO 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00919
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    Country              |    US
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    Telephone            |    787-758-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    634 SAN JORGE 5E 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00912
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    Country              |    US
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    Telephone            |    787-634-8138
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    8395
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    License Number State |    PR
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