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General NPI Number Information
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NPI Number | 1023159720
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Entity Type | Individual
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Provider Name | BLANCA PEREZ D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 35 CALLE JUAN C BORBON SUITE 67 JARDINES REALES SHOPPING CENTER
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City | GUAYNABO
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State | PR
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Zip | 00969-5375
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Country | US
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Telephone | 787-287-0353
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Fax | 787-287-0353
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Provider Business Mailing Address
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Address Line | 35 CALLE JUAN C BORBON PMB 147 SUITE 67
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City | GUAYNABO
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State | PR
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Zip | 00969-5374
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Country | US
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Telephone | 787-287-0353
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Fax | 787-287-0353
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 300
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License Number State | PR
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