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General NPI Number Information
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NPI Number | 1992803589
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Entity Type | Individual
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Provider Name | MIGUEL F GODREAU NEGRON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | HOSPITAL SAN FRANCISCO AVE. DE DIEGO 369 SUITE 404
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City | SAN JUAN
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State | PR
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Zip | 00923
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Country | US
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Telephone | 787-282-8112
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Fax | 787-765-3177
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Provider Business Mailing Address
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Address Line | 1773 CALLE COMPOSTELA COLLEGE PARK
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City | SAN JUAN
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State | PR
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Zip | 00921-4328
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Country | US
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Telephone | 787-250-7678
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Fax | 787-765-3177
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4046
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License Number State | PR
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