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General NPI Number Information
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NPI Number | 1881889558
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Entity Type | Individual
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Provider Name | JOSE MARIA GARCIA GONZALEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1114 AVE JESUS T PINERO
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City | SAN JUAN
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State | PR
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Zip | 00921-1722
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Country | US
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Telephone | 787-781-3020
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Fax | 787-781-3020
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Provider Business Mailing Address
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Address Line | 2454 E DEMPSTER ST SUITE 400
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City | DES PLAINES
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State | IL
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Zip | 60016-5315
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Country | US
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Telephone | 847-299-0700
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Fax | 847-390-0616
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 036127765
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 23987
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036.127765
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License Number State | IL
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