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General NPI Number Information
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NPI Number | 1891133849
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Entity Type | Organization
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Legal Business Name | DRA CARLA I CABALLERO & ASOCIADOS PSC
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | LA GALERIA DE SUCHVILLE 97 CARR PR2 STE 216
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City | GUAYNABO
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State | PR
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Zip | 00966-2039
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Country | US
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Telephone | 787-918-8820
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Fax | 787-200-5514
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Provider Business Mailing Address
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Address Line | LA GALERIA DE SUCHVILLE 97 CARR PR2 STE 216
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City | GUAYNABO
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State | PR
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Zip | 00966-2039
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Country | US
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Telephone | 787-918-8820
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Fax | 787-200-5514
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Authorized Official
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Title or Position | OPTICAL MANAGER
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Name | EUGENIO LUIS TORRES AYALA
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Credential |
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Telephone | 787-918-8820
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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 | 675
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License Number State | PR
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