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General NPI Number Information
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NPI Number | 1104010651
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Entity Type | Individual
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Provider Name | PEDRO GIL SOLIVAN ORTIZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 369 AVE JOSE DE DIEGO TORRE SAN FRANCISCO OFICINA 603
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City | RIO PIEDRAS
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State | PR
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Zip | 00923
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Country | US
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Telephone | 787-753-6022
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Fax | 787-753-6066
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Provider Business Mailing Address
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Address Line | TORRE SAN FRANCISCO #369 AVE. DE DIEGO OFIC 603
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City | SAN JUAN
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State | PR
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Zip | 00923
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Country | US
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Telephone | 787-753-6022
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Fax | 787-753-6066
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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 | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | 17625
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 17625
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 17625
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License Number State | PR
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