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General NPI Number Information
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NPI Number | 1487999223
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Entity Type | Organization
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Legal Business Name | CARIBE OPTI LAB (DBA OPTICS EYE CARE)
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 201 AVE DE DIEGO PLAZA SAN FRANCISCO SUITE 40
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City | SAN JUAN
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State | PR
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Zip | 00927-5828
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Country | US
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Telephone | 787-782-6664
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Fax |
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Provider Business Mailing Address
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Address Line | 201 AVE DE DIEGO PLAZA SAN FRANCISCO SUITE 40
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City | SAN JUAN
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State | PR
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Zip | 00927-5828
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Country | US
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Telephone | 787-782-6664
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANGEL L ROSADO
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Credential |
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Telephone | 787-781-4945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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