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General NPI Number Information
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NPI Number | 1952466328
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Entity Type | Individual
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Provider Name | ROBERTO ANTONIO FERRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 211 CALLE LIRIO
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City | CAROLINA
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State | PR
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Zip | 00987-2213
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Country | US
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Telephone | 787-876-5266
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Fax | 787-256-1775
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Provider Business Mailing Address
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Address Line | PO BOX 525
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City | CANOVANAS
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State | PR
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Zip | 00729-0525
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Country | US
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Telephone | 787-876-5260
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Fax | 787-876-5266
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 10927
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License Number State | PR
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