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General NPI Number Information
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NPI Number | 1700252293
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Entity Type | Organization
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Legal Business Name | CAYEY PODIATRICS PSC
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 66 CALLE BARBOSA S
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City | CAYEY
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State | PR
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Zip | 00736-4727
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Country | US
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Telephone | 787-738-4044
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Fax | 787-263-1845
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Provider Business Mailing Address
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Address Line | PO BOX 370882
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City | CAYEY
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State | PR
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Zip | 00737-0882
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Country | US
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Telephone | 787-738-4044
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Fax | 787-263-1845
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIGUEL J MARTIN JIMENEZ
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Credential | D.P.M
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Telephone | 787-738-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 078
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License Number State | PR
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