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General NPI Number Information
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NPI Number | 1295280469
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Entity Type | Individual
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Provider Name | ANDREA R GONZALEZ-QUINTERO MD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 917 AVE TITO CASTRO
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City | PONCE
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State | PR
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Zip | 00716-4717
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Country | US
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Telephone | 787-844-2080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 336810
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City | PONCE
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State | PR
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Zip | 00733-6810
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Country | US
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Telephone | 787-844-2080
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 32319
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License Number State | PR
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