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General NPI Number Information
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NPI Number | 1265413439
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Entity Type | Individual
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Provider Name | ANTOLIN J ALVAREZ PONT M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 1801 AVE PONCE DE LEON SANTURCE MEDICAL MALL STE. 213
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City | SANTURCE
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State | PR
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Zip | 00909-1900
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Country | US
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Telephone | 787-728-7390
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Fax | 787-728-9686
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Provider Business Mailing Address
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Address Line | 39 CALLE BROMELIA PARQUE DE BUCARE
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City | GUAYNABO
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State | PR
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Zip | 00969-5103
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Country | US
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Telephone | 787-728-7390
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Fax | 787-728-9686
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 6028
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License Number State | PR
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