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General NPI Number Information
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NPI Number | 1508273699
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Entity Type | Organization
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Legal Business Name | GBO OTO GROUP PSC.
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 2 CALLE CRISALIDA URB MUNOZ RIVERA
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City | GUAYNABO
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State | PR
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Zip | 00969-3606
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Country | US
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Telephone | 787-720-5238
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Fax | 787-272-0824
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Provider Business Mailing Address
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Address Line | B29 URB LA COLINA
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City | GUAYNABO
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State | PR
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Zip | 00969-3261
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Country | US
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Telephone | 787-720-5222
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Fax | 787-789-7604
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LIONEL FERNANDEZ LOPEZ
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Credential | MD
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Telephone | 787-617-6455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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