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General NPI Number Information
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NPI Number | 1629955604
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Entity Type | Organization
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Legal Business Name | MEDFACIAL SURGERY LLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | BAYAMON MEDICAL PLAZA 1845 CARR 2 SUITE 105
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City | BAYAMON
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State | PR
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Zip | 00959-6006
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Country | US
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Telephone | 787-785-8981
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Fax |
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Provider Business Mailing Address
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Address Line | CONDOMINIO PUERTO PASEOS 385 AVENIDA DONA FELISA APT 1101
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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 | 787-785-8981
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | MR. JOSE R SANCHEZ PEREZ SR.
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Credential | MD
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Telephone | 787-785-8981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery 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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number |
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License Number State |
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