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General NPI Number Information
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NPI Number | 1306112487
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Entity Type | Individual
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Provider Name | JORGE LUIS WEBER GUZMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | CENTRO MEDICO DE CAYEY OFICINA 205
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City | CAYEY
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State | PR
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Zip | 00736-4107
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Country | US
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Telephone | 787-639-8835
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Fax |
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Provider Business Mailing Address
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Address Line | CENTRO MEDICO DE CAYEY OFICINA 205
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City | CAYEY
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State | PR
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Zip | 00736-4107
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Country | US
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Telephone | 787-639-8835
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Fax |
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 57890
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 21351
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License Number State | PR
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