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General NPI Number Information
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NPI Number | 1427352228
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Entity Type | Organization
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Legal Business Name | ORTHOSTAT CARIBBEAN CORP
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | AVENIDA BOULEVARD 3217 SUITE D
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City | TOA BAJA
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State | PR
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Zip | 00949-2707
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Country | US
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Telephone | 787-603-4442
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 11017
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City | SAN JUAN
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State | PR
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Zip | 00922-1017
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Country | US
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Telephone | 787-689-7556
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Fax | 787-294-9344
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERTO RIVERA
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Credential |
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Telephone | 787-689-7556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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