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General NPI Number Information
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NPI Number | 1699004366
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Entity Type | Organization
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Legal Business Name | CARIBBEAN UROGYNECOLOGY ASSOCIATES PSC
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 08/31/2012
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Provider Practice Location Address
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Address Line | 101 AVE SAN PATRICIO MARAMAR PLAZA SUITE 1090
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City | GUAYNABO
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State | PR
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Zip | 00968-2645
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Country | US
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Telephone | 787-414-8777
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Fax | 787-963-0729
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Provider Business Mailing Address
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Address Line | 101 AVE SAN PATRICIO MARAMAR PLAZA SUITE 1090
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City | GUAYNABO
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State | PR
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Zip | 00968-2645
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Country | US
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Telephone | 787-414-8777
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Fax | 787-963-0729
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JIMMY J JULIA-MARTINEZ
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Credential | MD
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Telephone | 787-414-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 16233
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License Number State | PR
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