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General NPI Number Information
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NPI Number | 1841429982
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Entity Type | Organization
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Legal Business Name | SOL SURGERY
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Dates
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Enumeration Date | 07/10/2009
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | AVE. SAN CRISTOBAL, SAN CRISTOBAL MEDICAL TOWER SUITE 304
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City | COTO LAUREL
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State | PR
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Zip | 00780-2861
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Country | US
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Telephone | 787-360-4723
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Fax |
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Provider Business Mailing Address
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Address Line | AVE. SAN CRISTOBAL, SAN CRISTOBAL MEDICAL TOWER SUITE 304
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City | COTO LAUREL
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State | PR
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Zip | 00780-2861
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Country | US
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Telephone | 787-360-4723
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SABATO ORTIZ
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Credential | M.D
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Telephone | 787-360-4723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 17489
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License Number State | PR
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