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General NPI Number Information
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NPI Number | 1104726710
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Entity Type | Organization
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Legal Business Name | JGM LLC
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Dates
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Enumeration Date | 11/07/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 735 AVE PONCE DE LEON STE 202
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City | SAN JUAN
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State | PR
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Zip | 00917-5024
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Country | US
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Telephone | 787-767-7850
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Fax | 787-758-0373
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Provider Business Mailing Address
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Address Line | 735 AVE PONCE DE LEON STE 202
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City | SAN JUAN
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State | PR
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Zip | 00917-5024
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Country | US
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Telephone | 787-767-7850
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Fax | 787-758-0373
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Authorized Official
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Title or Position | PRESIDENTA
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Name | GEORGINA M MEDINA AGRAMONTE
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Credential |
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Telephone | 787-767-7850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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