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General NPI Number Information
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NPI Number | 1982909271
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Entity Type | Individual
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Provider Name | SAUL FELIPE ESTRADA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | CARR. #3 KM. 8.3 AVE 65 INFANTERIA HOSPITAL FEDERICO TRILLA
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City | CAROLINA
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State | PR
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Zip | 00984
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Country | US
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Telephone | 787-758-7825
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 3 KM 8 3 AVE 65TH INFANTERIA BOX 6021
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City | CAROLINA
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State | PR
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Zip | 00984-6021
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Country | US
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Telephone | 787-758-7825
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18114
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License Number State | PR
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