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General NPI Number Information
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NPI Number | 1881231546
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Entity Type | Organization
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Legal Business Name | LE PETIT VISION CENTER LLC
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | CONSOLIDATED MALL C-22, AVE GAUTIER BENITEZ 202
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City | CAGUAS
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State | PR
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Zip | 00725-9998
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Country | US
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Telephone | 787-744-2821
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Fax | 787-957-8680
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Provider Business Mailing Address
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Address Line | PO BOX 9192
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City | CAGUAS
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State | PR
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Zip | 00726-9192
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Country | US
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Telephone | 787-744-2821
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Fax | 787-957-8680
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN M. VAZQUEZ
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Credential | OD
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Telephone | 787-504-1302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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