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General NPI Number Information
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NPI Number | 1508692575
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Entity Type | Organization
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Legal Business Name | FERNANDEZPEREZ MD LLC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | B1 CALLE SANTA CRUZ CARIMED PLAZA 403
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City | BAYAMON
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State | PR
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Zip | 00961-6928
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Country | US
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Telephone | 787-798-7070
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Fax |
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Provider Business Mailing Address
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Address Line | B1 CALLE SANTA CRUZ CARIMED PLAZA 403
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City | BAYAMON
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State | PR
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Zip | 00961-6928
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Country | US
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Telephone | 787-798-7070
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAMUEL FERNANDEZ PEREZ
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Credential | MD
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Telephone | 787-798-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number |
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License Number State |
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