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General NPI Number Information
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NPI Number | 1952238321
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Entity Type | Individual
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Provider Name | JOSE M GARCIA RODRIGUEZ
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Gender | Male
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 715 AVE PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00917-5032
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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 | 426 AVE SAN JOSE E
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City | AIBONITO
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State | PR
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Zip | 00705-3700
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Country | US
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Telephone | 787-519-3186
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 17772-I
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License Number State | PR
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