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General NPI Number Information
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NPI Number | 1023168366
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Entity Type | Individual
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Provider Name | GILDA DEL ROSARIO RODRIGUEZ-CRUZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | AVE. BORINQUEN ESQINA NIN BO. OBRERO
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City | SAN JUAN
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State | PR
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Zip | 00916
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Country | US
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Telephone | 787-726-7373
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Fax | 787-726-5898
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Provider Business Mailing Address
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Address Line | PO BOX 79620
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City | CAROLINA
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State | PR
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Zip | 00984-9620
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Country | US
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Telephone | 787-791-1221
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Fax | 787-791-1221
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 6350
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License Number State | PR
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