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General NPI Number Information
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NPI Number | 1992782551
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Entity Type | Individual
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Provider Name | RICARDO JESUS REINA-SANABRIA MD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 576 AVE CESAR GONZALEZ SUITE 506 DORAL BANK CENTER
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City | SAN JUAN
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State | PR
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Zip | 00917-5022
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Country | US
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Telephone | 787-772-1007
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Fax | 787-772-1009
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Provider Business Mailing Address
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Address Line | 100 GRAND BLVD PASEOS SUITE 112 MSC 313
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City | SAN JUAN
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State | PR
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Zip | 00926-5955
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Country | US
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Telephone | 787-287-4938
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 13805
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License Number State | PR
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