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General NPI Number Information
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NPI Number | 1295575777
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Entity Type | Organization
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Legal Business Name | LLUBERES DENTAL CARE LLC
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 654 AVE LUIS MUNOZ RIVERA STE 1835
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City | SAN JUAN
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State | PR
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Zip | 00918-4113
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Country | US
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Telephone | 787-585-6574
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Fax |
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Provider Business Mailing Address
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Address Line | 654 AVE LUIS MUNOZ RIVERA STE 1835
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City | SAN JUAN
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State | PR
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Zip | 00918-4113
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Country | US
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Telephone | 787-585-6574
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADOR
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Name | MISS JOHANNA ELIZABETH LLUBERES GIL
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Credential |
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Telephone | 787-585-6574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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