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General NPI Number Information
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NPI Number | 1942399126
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Entity Type | Individual
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Provider Name | PORFIRIO E. DIAZ ROMERO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 525 AVE FD ROOSEVELT TORRE DE PLAZA SUITE 612
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City | SAN JUAN
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State | PR
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Zip | 00918-8057
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Country | US
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Telephone | 787-414-8294
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Fax | 787-957-6696
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Provider Business Mailing Address
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Address Line | ARBOLES DE MONTEHIEDRA 462 CALLE BAUHINIA
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City | SAN JUAN
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State | PR
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Zip | 00926-7162
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Country | US
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Telephone | 787-536-6710
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Fax | 787-957-6696
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 12157
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License Number State | PR
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