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General NPI Number Information
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NPI Number | 1588161095
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Entity Type | Organization
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Legal Business Name | CENTRO DE CIRUGIA PLASTICA Y OFTALMICA INC
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | EDIF DRES COLBERG CARR 100 KM 5.2
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-805-3232
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Fax | 787-255-0707
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Provider Business Mailing Address
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Address Line | PO BOX 901
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City | CABO ROJO
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State | PR
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Zip | 00623-0901
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Country | US
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Telephone | 787-805-3232
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Fax | 787-255-0707
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ROBERTO RUIZ
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Credential | MHSA
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Telephone | 787-249-5097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 32
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License Number State | PR
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