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General NPI Number Information
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NPI Number | 1427446368
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Entity Type | Organization
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Legal Business Name | MILAGROS ACEVEDO GARCIA
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | CC33 CALLE FLAMBOYANES URB RIO HONDO III
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City | BAYAMON
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State | PR
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Zip | 00961-3468
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Country | US
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Telephone | 787-269-7300
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Fax | 787-269-7300
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Provider Business Mailing Address
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Address Line | 61 PLAZA SEIS URB GRAN VISTA II
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City | GURABO
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State | PR
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Zip | 00778-5059
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Country | US
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Telephone | 787-269-7300
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Fax | 787-269-7300
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Authorized Official
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Title or Position | OWNER
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Name | MILAGROS ACEVEDO GARCIA
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Credential |
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Telephone | 787-396-9411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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