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General NPI Number Information
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NPI Number | 1659503795
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Entity Type | Organization
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Legal Business Name | NEW VISION MEDICAL DIAGNOSTICS LLC
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | CALLE BARBOSA #36 ESQUINA MANUEL F ROSSY
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City | BAYAMON
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State | PR
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Zip | 00960
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Country | US
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Telephone | 787-778-5353
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Fax | 787-778-5302
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Provider Business Mailing Address
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Address Line | PO BOX 6350
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City | BAYAMON
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State | PR
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Zip | 00960-5350
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Country | US
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Telephone | 787-778-5353
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Fax | 787-778-5302
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE J VARGAS RODRIGUEZ
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Credential |
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Telephone | 787-778-5353
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 43
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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