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General NPI Number Information
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NPI Number | 1134226574
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Entity Type | Individual
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Provider Name | MARTIN GORROCHATEGUI - RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | HOSPITAL AUXILIO MUTUO - 1ER PISO EDIF. SAN VICENTE 735 AVE. PONCE DE LEON, PARADA 37 1/2
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City | HATO REY
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State | PR
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Zip | 00612-0000
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Country | US
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Telephone | 787-758-3320
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Fax | 787-758-3358
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Provider Business Mailing Address
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Address Line | CENTRO DE ACCESOS VASCULARES 735 AVE. PONCE DE LEON, PARADA 37 1/2
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City | HATO REY
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State | PR
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Zip | 00918-0000
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Country | US
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Telephone | 787-758-3320
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Fax | 787-758-3358
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 7882
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License Number State | PR
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