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General NPI Number Information
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NPI Number | 1215439765
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Entity Type | Organization
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Legal Business Name | CARIBBEAN ENDOCRINOLOGY CARE
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | URB UNIVERSITY GARDENS CALLE YALE 196, APT 102
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-432-1297
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32126
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City | PONCE
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State | PR
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Zip | 00732-2126
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Country | US
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Telephone | 787-432-1297
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDRES JOSE ORTIZ-NIEVES
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Credential | MD
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Telephone | 787-432-1297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19096
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License Number State | PR
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