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General NPI Number Information
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NPI Number | 1386567238
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Entity Type | Organization
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Legal Business Name | PUERTO RICO INTERVENTIONAL ENDOSCOPY
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | KM 11.7 PR-2
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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 | 787-245-7623
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Fax |
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Provider Business Mailing Address
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Address Line | 1 AVE PALMA REAL APT 2A1
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City | GUAYNABO
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State | PR
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Zip | 00969-7201
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Country | US
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Telephone | 787-245-7623
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Fax |
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Authorized Official
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Title or Position | ATTENDING PHYSICIAN
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Name | DR. CARLOS ENRIQUE BERTRAN-RODRIGUEZ
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Credential | MD
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Telephone | 787-245-7623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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