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General NPI Number Information
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NPI Number | 1942372891
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Entity Type | Individual
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Provider Name | JAVIER RICARDO BURGOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HOSPITAL U.P.R 65TH INFANTRY AVE.
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City | CAROLINA
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State | PR
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Zip | 00984
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Country | US
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Telephone | 787-757-1800
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Fax | 787-701-4490
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Provider Business Mailing Address
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Address Line | URB. EL CEREZAL CALLE LOIRA # 1600
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-274-1248
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 14523
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License Number State | PR
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