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General NPI Number Information
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NPI Number | 1932940467
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Entity Type | Organization
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Legal Business Name | OJOS LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1700 AVE ANTONIO R BARCELO STE 5
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City | CAYEY
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State | PR
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Zip | 00736-4132
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Country | US
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Telephone | 787-307-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 151 CALLE CESAR GONZALEZ APT 503
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City | SAN JUAN
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State | PR
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Zip | 00918-5103
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Country | US
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Telephone | 787-438-9839
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RADAMES VICENTE RIOS GONZALEZ
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Credential | MD
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Telephone | 787-438-9839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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