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Individual
MARIO AUGUSTO CORONA RUIZ
Active
Individual
MARIO AUGUSTO CORONA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22921
PR
207Y00000X
Otolaryngology Physician
69904
MN
207YX0901X
Otology & Neurotology Physician
22921
PR
390200000X
Student in an Organized Health Care Education/Training Program
4927717
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4937717
DRIVER LICENSE
PR
Enumeration date
09/16/2014
Last updated
10/20/2022
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