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General NPI Number Information
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NPI Number | 1972243384
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Entity Type | Organization
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Legal Business Name | JEM CARE, LLC
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 655 CALLE PAVIA STE 202
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City | SAN JUAN
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State | PR
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Zip | 00909-2269
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Country | US
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Telephone | 787-728-2361
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19057
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City | SAN JUAN
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State | PR
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Zip | 00910-1057
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Country | US
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Telephone | 787-728-2361
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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. JORGE ENRIQUE MATTEI
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Credential | MD
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Telephone | 787-399-4853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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