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General NPI Number Information
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NPI Number | 1194857433
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Entity Type | Organization
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Legal Business Name | DR. GERARDO ANTONIO PEDROZA SIERRA
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | EDF. MEDICO HNAS. DAVILA CALLE 2 ESQ. B OFICINA 101
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-785-5968
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Fax | 787-785-5968
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Provider Business Mailing Address
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Address Line | COLINAS DE BAYAMON 250 831 RD. APT. 810
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-785-5968
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Fax | 787-785-5968
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Authorized Official
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Title or Position | GENERAL PHYSICIAN
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Name | GERARDO ANTONIO PEDROZA-SIERRA
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Credential | M.D.
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Telephone | 787-785-5968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 15516
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License Number State | PR
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