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General NPI Number Information
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NPI Number | 1497776108
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Entity Type | Organization
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Legal Business Name | OFICINA DE OFTALMOLOGIA DR EMILIO A BAEZ RIVERA, CSP
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 81 AVE LUIS MUNOZ MARIN STE 201
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City | CAGUAS
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State | PR
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Zip | 00725-3883
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Country | US
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Telephone | 787-258-2237
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Fax | 787-747-0964
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Provider Business Mailing Address
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Address Line | PO BOX 4952 PMB 580
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City | CAGUAS
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State | PR
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Zip | 00726-4952
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Country | US
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Telephone | 787-258-2237
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Fax | 787-747-0964
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | MRS. DIANA V SANTANA
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Credential |
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Telephone | 787-314-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 013195
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License Number State | PR
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