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NPI 1437194602

NPI 1437194602 : JOSE GUILLERMO SANTINI O.D. : GUAYAMA, PR

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General NPI Number Information
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    NPI Number           |    1437194602
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    Entity Type          |    Individual 
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    Provider Name        |    JOSE GUILLERMO SANTINI O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/19/2006
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    Last Update Date     |    08/24/2010
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Provider Practice Location Address
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    Address Line         |    URB. GREEN HILLS CARR.#3 ESQ. CALLE GIRASOL, EDIF. 6
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    City                 |    GUAYAMA
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    State                |    PR
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    Zip                  |    00783
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    Country              |    US
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    Telephone            |    787-866-1231
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    Fax                  |    787-866-1231
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Provider Business Mailing Address
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    Address Line         |    P.O.BOX 12 
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    City                 |    BARRANQUITAS
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    State                |    PR
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    Zip                  |    00794
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    Country              |    US
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    Telephone            |    787-857-1437
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    Fax                  |    787-857-1437
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    347
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    License Number State |    PR
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