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General NPI Number Information
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NPI Number | 1730976705
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Entity Type | Organization
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Legal Business Name | OPEN CARE WELLNESS CENTER
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 06/22/2025
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Provider Practice Location Address
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Address Line | CARR PR 149 KM 56.3 MEDTRONIC
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-941-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 5031 TINTILLO HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-237-1412
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS M MARTINEZ
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Credential |
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Telephone | 787-237-1412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice 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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State |
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