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General NPI Number Information
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NPI Number | 1073839734
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Entity Type | Organization
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Legal Business Name | JVLM MEDICOS CSP
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 9410 AVE LOS ROMEROS MONTEHIEDRA TOWN CENTER (ALTOS CINE) SUITE 204
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City | SAN JUAN
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State | PR
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Zip | 00926-7007
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Country | US
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Telephone | 787-789-3790
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Fax |
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Provider Business Mailing Address
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Address Line | A7 CALLE 2 MANSIONES DE GARDEN HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966-2717
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Country | US
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Telephone | 787-789-3790
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Fax | 787-789-3790
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Authorized Official
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Title or Position | PODIATRY
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Name | DR. JORGE GARCIA FERRERAS
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Credential | DPM
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Telephone | 787-789-3790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 100
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License Number State | PR
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