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General NPI Number Information
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NPI Number | 1467669895
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Entity Type | Organization
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Legal Business Name | MULTIVISION-BARRIO OBRERO
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 603 CALLE LODI LOCAL 3 VILLA CAPRI
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City | SAN JUAN
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State | PR
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Zip | 00924-3842
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Country | US
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Telephone | 787-727-9381
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Fax | 787-753-2200
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Provider Business Mailing Address
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Address Line | 212 CALLE DIEZ DE ANDINO BALDORIOTY PLAZA 1501
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City | SAN JUAN
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State | PR
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Zip | 00912-3445
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Country | US
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Telephone | 787-319-7523
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Fax | 787-753-2200
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Authorized Official
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Title or Position | OWNER
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Name | DR. WALTER STEVE RAMIREZ-PAGAN
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Credential | O.D.
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Telephone | 787-753-2200
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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 | 156
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License Number State | PR
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