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General NPI Number Information
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NPI Number | 1659917540
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Entity Type | Organization
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Legal Business Name | CIALES CENTRO VISUAL CORP.
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 51 CALLE JOSE DE DIEGO
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City | CIALES
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State | PR
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Zip | 00638-3228
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Country | US
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Telephone | 787-925-6808
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Fax |
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Provider Business Mailing Address
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Address Line | 51 CALLE JOSE DE DIEGO
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City | CIALES
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State | PR
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Zip | 00638-3228
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Country | US
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Telephone | 787-925-6808
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MRS. JOSE E WHATTS
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Credential | DO
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Telephone | 787-925-6808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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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 | 156FX1800X
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Taxonomy Name | Optician
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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 | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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