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General NPI Number Information
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NPI Number | 1982808028
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Entity Type | Individual
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Provider Name | IDALIA GARCIA CORTES M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | CARR 852 KM 0 HM 8 BO. DOS BOCAS
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-761-0080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 218
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City | TRUJILLO ALTO
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State | PR
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Zip | 00977-0218
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Country | US
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Telephone | 787-638-0880
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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 | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | DM10647-6
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DM10647-6
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License Number State | PR
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