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General NPI Number Information
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NPI Number | 1164497822
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Entity Type | Individual
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Provider Name | GREGORIO ENRIQUE TERC MD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | CARIBE BUILDING 2053 PONCE BY PASS, SUITE 202
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City | PONCE
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State | PR
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Zip | 00717-1308
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Country | US
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Telephone | 787-709-3940
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Fax | 787-651-6717
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Provider Business Mailing Address
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Address Line | PO BOX 10670 2340 AVE EDUARDO RUBERTE
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City | PONCE
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State | PR
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Zip | 00732-0670
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Country | US
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Telephone | 787-709-3940
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Fax | 787-651-6717
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 5136
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License Number State | PR
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