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General NPI Number Information
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NPI Number | 1932275484
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Entity Type | Individual
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Provider Name | JOSE M GARCIA MATEO MD
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | PONCE BY PASS SUITE 809 PUMA MEDICAL INSTITUTE
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-284-5299
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Fax | 787-843-5565
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Provider Business Mailing Address
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Address Line | PONCE BY PASS SUITE 809 PARRA MEDICAL INSTITUTE
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-284-5299
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Fax | 787-843-5565
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 13031
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License Number State | PR
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