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General NPI Number Information
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NPI Number | 1558491696
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Entity Type | Organization
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Legal Business Name | BORINQUEN OXYGEN SERVICES CORP
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | FRONTERA D 13 VILLA ANDALUCIA
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-760-6239
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Fax | 787-760-1253
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Provider Business Mailing Address
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Address Line | PO BOX 193512
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City | SAN JUAN
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State | PR
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Zip | 00919-3512
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Country | US
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Telephone | 787-760-6239
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Fax | 787-760-1253
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUAN GONZALEZ DEL VALLE
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Credential |
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Telephone | 787-760-6239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 00462200019
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License Number State | PR
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