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General NPI Number Information
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NPI Number | 1184048399
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Entity Type | Organization
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Legal Business Name | CARIBBEAN GASTROENTEROLOGY CENTER LLC
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | DR. PEDRO BLANCO, 200 STE 2 SUITE 307 TORRE MEDICA 1
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-854-4600
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Fax | 787-854-4411
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Provider Business Mailing Address
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Address Line | PO BOX 450
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City | DORADO
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State | PR
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Zip | 00646-0450
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Country | US
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Telephone | 787-854-4140
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Fax | 787-854-4411
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NESTOR SEBASTIAN APONTE
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Credential | M.D.
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Telephone | 787-854-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 13575
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License Number State | PR
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