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General NPI Number Information
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NPI Number | 1124999875
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Entity Type | Organization
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Legal Business Name | CARIBBEAN MEDICAL SP LLC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1139 AVE AMERICO MIRANDA
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City | SAN JUAN
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State | PR
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Zip | 00921-2212
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Country | US
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Telephone | 787-636-0907
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Fax |
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Provider Business Mailing Address
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Address Line | 1139 AVE AMERICO MIRANDA
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City | SAN JUAN
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State | PR
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Zip | 00921-2212
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Country | US
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Telephone | 787-636-0907
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Fax |
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Authorized Official
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Title or Position | COMPTROLLER/OWNER
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Name | GABRIEL DURAN
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Credential |
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Telephone | 787-636-0907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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