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General NPI Number Information
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NPI Number | 1952791287
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Entity Type | Individual
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Provider Name | JORGE ARMANDO SANCHEZ-VIVALDI MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 735 AVE PONCE DE LEON STE 375
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City | SAN JUAN
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State | PR
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Zip | 00917-5025
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Country | US
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Telephone | 787-241-2190
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Fax |
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Provider Business Mailing Address
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Address Line | 155 CALLE CHELSEA
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City | BAYAMON
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State | PR
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Zip | 00959-2718
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Country | US
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Telephone | 787-241-2190
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 18995
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 18995
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License Number State | PR
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