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General NPI Number Information
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NPI Number | 1083958763
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Entity Type | Organization
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Legal Business Name | ORTHO CARIBE INC.
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | CALLE GOYCO #56 PUEBLO
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 939-246-3179
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 95 PO BOX 70344
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 939-246-3179
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ADRIAN FERNANDO LUGO QUINTERO
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Credential |
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Telephone | 939-246-3179
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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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