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General NPI Number Information
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NPI Number | 1013181783
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Entity Type | Individual
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Provider Name | DIANA I. CRUZ ALEMAN OPTOMETRY DOCTOR
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Gender | Female
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 05/01/2022
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Provider Practice Location Address
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Address Line | D54 CALLE CARTAGENA URB LAGO ALTO
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-4050
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Country | US
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Telephone | 787-269-7649
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Fax | 787-786-1424
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Provider Business Mailing Address
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Address Line | D54 CALLE CARTAGENA URB. LAGO ALTO
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-4050
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Country | US
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Telephone | 787-748-5283
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Fax |
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 217
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License Number State | PR
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