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General NPI Number Information
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NPI Number | 1356351035
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Entity Type | Organization
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Legal Business Name | CAGUAS SP INC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | CALLE LAS PIEDRAS VV 1, ESQ. DEGETAU AVE BONN. HEIGTHS
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City | CAGUAS
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State | PR
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Zip | 00725-7139
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Country | US
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Telephone | 787-746-3814
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Fax | 787-744-2605
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Provider Business Mailing Address
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Address Line | PO BOX 7139
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City | CAGUAS
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State | PR
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Zip | 00726-7139
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Country | US
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Telephone | 787-746-3814
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Fax | 787-744-2605
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTOR JOSE DE JESUS I
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Credential | MD
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Telephone | 787-746-3814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 07F1281
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 10533800001
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License Number State | PR
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