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General NPI Number Information
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NPI Number | 1235352626
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Entity Type | Organization
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Legal Business Name | OUTPATIENT SURGERY
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | MUNOZ RIVERA AVE. 1-A
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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 | 787-764-5655
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Fax | 787-764-5265
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Provider Business Mailing Address
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Address Line | PO BOX 1900
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City | CAGUAS
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State | PR
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Zip | 00726-1900
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Country | US
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Telephone | 787-764-5655
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCISCO J OLIVERA
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Credential | ESQUIRE
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Telephone | 787-764-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 108
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License Number State | PR
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