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NPI Code Detail

MEDICARE: DR. EDWIN JEMAL PEREZ-DEL PILAR O.D.

MEDICARE:  DR. EDWIN JEMAL PEREZ-DEL PILAR  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist485-133PR

General Provider Information

NPI Number : 1912194598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWIN JEMAL PEREZ-DEL PILAR O.D.
Provider Business Mailing Address
First Line : AVE MCLEARY
Second Line : 1801 COND. BEACH COURT APT. #602
City : SAN JUAN
State : PR
Zip : 00911-1266
Country : US
Telephone Number : 787-263-9079
Fax Number :
Provider Business Practice Location Address
First Line : AVE MCLEARY
Second Line : 1801 COND. BEACH COURT APT. #602
City : SAN JUAN
State : PR
Zip : 00911-1266
Country : US
Telephone Number : 787-263-9079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2007
Last Update Date : 09/27/2007

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Directions to “ DR. EDWIN JEMAL PEREZ-DEL PILAR O.D.” Practice Location

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