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General NPI Number Information
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NPI Number | 1962549980
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Entity Type | Individual
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Provider Name | RODOLFO RAMIREZ CARRERO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | AVENIDA 5 DE DICIEMBRE #114 SUITE 104
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City | SABANA GRANDE
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State | PR
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Zip | 00637
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Country | US
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Telephone | 787-873-6555
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Fax | 787-804-0360
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Provider Business Mailing Address
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Address Line | PO BOX 79
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City | SAN GERMAN
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State | PR
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Zip | 00683-0079
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Country | US
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Telephone | 787-538-9699
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Fax | 787-804-0360
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 12035
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License Number State | PR
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