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General NPI Number Information
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NPI Number | 1033558200
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Entity Type | Organization
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Legal Business Name | CARIBBEAN ORTHOPEDICS OF PUERTO RICO LLC
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | AVE. LUIS VIGOREAUX X3 VILLA CAPARRA
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City | GUAYNABO
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State | PR
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Zip | 00966-2434
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Country | US
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Telephone | 787-783-9400
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Fax | 787-781-7089
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Provider Business Mailing Address
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Address Line | PO BOX 367667
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City | SAN JUAN
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State | PR
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Zip | 00936-7667
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Country | US
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Telephone | 787-783-9400
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Fax | 787-781-7089
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. JORGE DE JESUS
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Credential |
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Telephone | 787-297-5584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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