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General NPI Number Information
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NPI Number | 1932019296
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Entity Type | Organization
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Legal Business Name | JC PHYSIATRY LLC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | AVE BOULEVARD P-1449 MOB
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City | TOA BAJA
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State | PR
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Zip | 00949-3906
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Country | US
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Telephone | 787-784-0148
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Fax |
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Provider Business Mailing Address
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Address Line | PASEO LAS VISTAS D88 CALLE 3
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City | SAN JUAN
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State | PR
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Zip | 00926-5935
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Country | US
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Telephone | 787-201-8979
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Fax |
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Authorized Official
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Title or Position | OWN
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Name | JUAN C PEREZ
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Credential | MD
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Telephone | 787-201-8979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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