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General NPI Number Information
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NPI Number | 1831072784
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Entity Type | Organization
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Legal Business Name | HEAD & NECK ONCOPLASTIC LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1010 PASEO DEL VETERANO
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City | PONCE
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State | PR
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Zip | 00716-2001
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Country | US
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Telephone | 787-812-3030
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Fax |
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Provider Business Mailing Address
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Address Line | J8 AVE SAN PATRICIO APT 29
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City | GUAYNABO
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State | PR
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Zip | 00968-4462
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GABRIEL PUJOL CUEVAS
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Credential | MD
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Telephone | 787-812-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) 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 | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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