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General NPI Number Information
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NPI Number | 1386159549
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Entity Type | Organization
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Legal Business Name | RCA GASTRO SERVICES P.S.C
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 305A TORRE SAN CRISTOBAL
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City | COTO LAUREL
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State | PR
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Zip | 00780-2849
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Country | US
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Telephone | 787-717-4010
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Fax | 787-569-8301
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Provider Business Mailing Address
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Address Line | 305 A SUITE TORRE SAN CRISTOBAL AVE SAN CRISTOBAL
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City | COTO LAUREL
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State | PR
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Zip | 00780
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Country | US
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Telephone | 787-717-4010
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Fax | 787-569-8301
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAFAEL A CORDERO ARILL
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Credential | MD
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Telephone | 787-717-4010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | PR
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