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General NPI Number Information
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NPI Number | 1548723158
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Entity Type | Organization
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Legal Business Name | PUERTO RICO EYE INSTITUTE
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | PLAZA BAIROA STE 245 AVE SAKURA PR#1
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-641-3030
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Fax |
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Provider Business Mailing Address
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Address Line | PLAZA BAIROA 1 AVE FOMENTO SUITE 1
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City | CAGUAS
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State | PR
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Zip | 00725-5763
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Country | US
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Telephone | 787-641-3030
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARLOS JAVIER FERNANDEZ
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Credential | MD
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Telephone | 787-641-3030
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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