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General NPI Number Information
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NPI Number | 1174724967
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Entity Type | Individual
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Provider Name | MAGDA V. RUBERO APONTE OD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 19 CALLE MUNOZ RIVERA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-5932
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Country | US
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Telephone | 787-755-2585
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Fax | 787-748-4176
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Provider Business Mailing Address
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Address Line | RF-5 PIAZA 7 RIO CRISTAL ,ENCANTADA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-755-2585
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Fax | 787-748-4176
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 461
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License Number State | PR
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