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General NPI Number Information
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NPI Number | 1568246569
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Entity Type | Organization
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Legal Business Name | DR JUAN A COMAS ORTIZ LLC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | CARR 363 KM 0.1 REPARTO SANTA ANA
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City | SABANA GRANDE
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State | PR
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Zip | 00637
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Country | US
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Telephone | 787-400-3786
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1235
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City | SABANA GRANDE
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State | PR
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Zip | 00637-1235
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Country | US
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Telephone | 787-400-3786
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/TREASURE
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Name | JUAN A COMAS ORTIZ
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Credential | MD
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Telephone | 787-400-3786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 208D00000X
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Taxonomy Name | General Practice 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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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