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General NPI Number Information
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NPI Number | 1285497339
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC AND SPINE CENTER OF PUERTO RICO LLC
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | HOSPITAL DAMAS 2225 PONCE BYPASS PARRA MEDICAL PLAZA SUITE 1003-1004
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City | PONCE
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State | PR
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Zip | 00717-1313
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Country | US
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Telephone | 787-492-0014
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 PONCE BY PASS PARRA MEDICAL PLAZA 1003 1004
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-492-0014
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANNY MANGUAL PEREZ
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Credential | MD
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Telephone | 787-340-0913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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Taxonomy #6
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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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