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General NPI Number Information
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NPI Number | 1881359073
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Entity Type | Organization
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Legal Business Name | JRSD EYE CARE LLC
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | CARR. 368 KM 0.6 BO. RINCON MACHUCHAL SUITE # 3
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City | SABANA GRANDE
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State | PR
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Zip | 00637
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Country | US
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Telephone | 787-873-7672
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Fax |
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Provider Business Mailing Address
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Address Line | 46 AVE UNIV INTERAMERICANA STE 1
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City | SAN GERMAN
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State | PR
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Zip | 00683-3919
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Country | US
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Telephone | 787-560-6276
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE ENRIQUE RAMIREZ
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Credential |
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Telephone | 787-560-6276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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