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General NPI Number Information
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NPI Number | 1851318414
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Entity Type | Organization
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Legal Business Name | J & Y MED SERV INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | 25 CALLE GENERAL BROOKE APT 1
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City | ARROYO
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State | PR
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Zip | 00714-2640
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Country | US
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Telephone | 787-839-6775
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Fax | 787-839-6775
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Provider Business Mailing Address
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Address Line | PO BOX 1837
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City | GUAYAMA
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State | PR
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Zip | 00785-1837
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Country | US
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Telephone | 787-839-6775
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Fax | 787-839-6775
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE V RIVERA IRZARRY
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Credential |
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Telephone | 787-839-6775
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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 | 10981
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License Number State | PR
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