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General NPI Number Information
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NPI Number | 1235453002
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Entity Type | Organization
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Legal Business Name | OJOS PUERTO RICO CENTRO DE CIRUGIA PSC
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 111 AVE MUNOZ RIVERA E P1 A1 SUITE 3
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City | CAMUY
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State | PR
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Zip | 00627-2630
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Country | US
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Telephone | 787-403-2791
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Fax |
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Provider Business Mailing Address
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Address Line | 300 AVE LA SIERRA APT 101
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City | SAN JUAN
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State | PR
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Zip | 00926-4339
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OSCAR ALEJANDRO HERNANDEZ
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Credential | MD
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Telephone | 787-403-2791
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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 |
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License Number State |
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