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Individual
DR. JOSE A PARES
Active
Individual
DR. JOSE A PARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
11522
PR
208D00000X
General Practice Physician
Primary
ME135563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21074
TRIPLE S
PR
01
—
DP418Z
MEDICARE PTAN
PR
Enumeration date
05/18/2007
Last updated
11/03/2022
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