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General NPI Number Information
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NPI Number | 1609887272
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Entity Type | Organization
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Legal Business Name | JAGOO INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | CARR. 129 KM 5.0 BO. HATO ARRIBA
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City | ARECIBO
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State | PR
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Zip | 00612-9613
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Country | US
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Telephone | 787-878-6665
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Fax | 787-650-3976
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Provider Business Mailing Address
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Address Line | HC 6 BOX 94610 SUITE #2
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City | ARECIBO
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State | PR
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Zip | 00612-9654
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Country | US
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Telephone | 787-878-6665
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Fax | 787-650-3976
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | MR. JORGE E. MARTINEZ HERNANDEZ
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Credential |
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Telephone | 787-878-6665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 18-F-2861
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License Number State | PR
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