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General NPI Number Information
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NPI Number | 1932490539
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Entity Type | Organization
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Legal Business Name | BC ORTHOPEDIC SOLUTIONS PSC
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1065 AVE LOS CORAZONES STE 205
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City | MAYAGUEZ
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State | PR
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Zip | 00680-7064
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Country | US
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Telephone | 787-833-6893
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 636
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City | MAYAGUEZ
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State | PR
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Zip | 00681-0636
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Country | US
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Telephone | 787-833-6893
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Fax | 787-831-1011
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANUEL BENITEZ CORUJO
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Credential | M.D.
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Telephone | 787-833-6893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 7624
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License Number State | PR
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