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General NPI Number Information
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NPI Number | 1225121999
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Entity Type | Organization
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Legal Business Name | INSTITUTO ORTOPEDICO CAGUAS
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | EDIF. HIMA SAN PABLO CIRUGIA AMBULATORIA CALLE MUNOZ RIVERA NUM. 1 FIINAL OFIC. 203
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City | CAGUAS
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State | PR
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Zip | 00726
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Country | US
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Telephone | 787-744-4654
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Fax | 787-743-4959
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Provider Business Mailing Address
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Address Line | PO BOX 760
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City | CAGUAS
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State | PR
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Zip | 00726
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Country | US
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Telephone | 787-744-4654
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Fax | 787-743-4959
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Authorized Official
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Title or Position | PRESIDENTTE
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Name | BENIGNO LOPEZ
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Credential | MD
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Telephone | 787-744-4654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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