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General NPI Number Information
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NPI Number | 1073557252
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Entity Type | Organization
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Legal Business Name | INSTITUTO DE OJOS Y PIEL, INC
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | ROAD 3 KM12.5
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-769-2477
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Fax | 787-276-0065
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Provider Business Mailing Address
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Address Line | PO BOX 190990 HATO REY STATION
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City | SAN JUAN
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State | PR
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Zip | 00919-0990
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Country | US
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Telephone | 787-769-2477
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Fax | 787-276-0065
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Authorized Official
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Title or Position | SECRETARIA
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Name | WANDA RIVERA FIGUEROA
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Credential |
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Telephone | 787-769-2477
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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 |
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License Number State |
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