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General NPI Number Information
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NPI Number | 1942177878
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Entity Type | Organization
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Legal Business Name | ENDOVIDA CENTRO ENDOCRINOLOGICO LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | V1 CALLE 16
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City | ARECIBO
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State | PR
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Zip | 00612-3112
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Country | US
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Telephone | 787-662-8215
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Fax |
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Provider Business Mailing Address
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Address Line | 21 CALLE 2, URB. SAN VICENTE
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-662-8215
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZULMARIE MAISONET FELICIANO
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Credential | MD
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Telephone | 787-662-8215
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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 |
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License Number State |
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