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General NPI Number Information
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NPI Number | 1245799402
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Entity Type | Organization
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Legal Business Name | OPTIMUM CARE, LLC
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 268 AVE PONCE DE LEON SUITE 100
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-266-7261
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Fax | 787-250-7263
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Provider Business Mailing Address
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Address Line | 268 AVE PONCE DE LEON SUITE 100
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-266-7261
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Fax | 787-250-7263
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REBECCA E. VELAZQUEZ-ALVAREZ
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Credential | MD
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Telephone | 787-310-5572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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