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General NPI Number Information
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NPI Number | 1972303139
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Entity Type | Individual
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Provider Name | YOZAIRA MATTEI DE JESUS P.A
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Gender | Female
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | URB. VILLA CAROLINA, #124-8 AVE. ROBERRTO CLEMENTE
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City | CAROLINA
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State | PR
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Zip | 00981-0000
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Country | US
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Telephone | 787-257-0709
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Fax |
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Provider Business Mailing Address
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Address Line | AVE. ROBERRTO CLEMENTE , URB. VILLA CAROLINA, 124-8
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City | CAROLINA
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State | PR
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Zip | 00981-0000
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Country | US
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Telephone | 787-257-0709
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 844
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License Number State | PR
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