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General NPI Number Information
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NPI Number | 1962193524
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Entity Type | Individual
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Provider Name | DIANIRIS ASTACIO-RODRIGUEZ BACHELOR'S
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Gender | Female
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 388 ZONA IND REPARADA 2
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City | PONCE
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State | PR
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Zip | 00716-2347
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Country | US
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Telephone | 787-840-2575
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Fax |
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Provider Business Mailing Address
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Address Line | HOSPITAL PEDIATRICO UNIVERSITARIO, CENTRO MEDICO CARRETERA 22
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-474-0333
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 17495
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License Number State | PR
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