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ProviderCode
Provider Name
Physician ID
Last Name
First Name
Middle Name
TIN #
Specialization
Sub Specialization
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'014900
ILAYA
ARIEL
135395906
Internal Medicine
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'013692
MEDINA
ARNOLD
DURAN
208366969
Internal Medicine
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'030451
CRUZ
CHARLES
JIMENEZ
936066050
Surgery-General
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'000565
SEMBLANTE
CHITO
308277525
Internal Medicine
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'020014
TUMULAK
CLOUDINE DENISE
A.
449382148000
Internal Medicine
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'033135
MANASAN
CRISTON VAN
482359
Internal Medicine
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'017471
BANZON
DENNIS JOSEPH
400810604000
Otolaryngology
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'029626
ZABALA
DIANA
P
456456415
Pediatric
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'013100
SAMPANG
DOMINGO
CAMACHO
200318427000
Orthopedic Surgery
'001436
CENTRO MEDICO DE SANTISIMO ROSARIO, INC.
'000546
TAMAYO
EDILBERT
216771562
Orthopedic Surgery
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