Individual
ENRIQUE DUPRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 107 # KM 2/9, AGUADILLA, PR 00603-5970
(787) 891-2748
Mailing address
PO BOX 250452, AGUADILLA, PR 00604-0452
(787) 891-2748
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5862
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009979655
—
AL
05
—
009979665
—
AL
01
—
051524701
BLUECROSSBLUESHEILD
AL
Enumeration date
08/14/2006
Last updated
08/19/2015
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