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General NPI Number Information
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NPI Number | 1396292603
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Entity Type | Individual
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Provider Name | RUBEN ANTONIO JESUS TRESGALLO PARES
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Gender | Male
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 75 FRANCIS ST
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City | BOSTON
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State | MA
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Zip | 02115-6110
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Country | US
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Telephone | 617-732-5622
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 CALLE 19 PMB 192
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City | GUAYNABO
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State | PR
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Zip | 00966-2700
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Country | US
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Telephone | 787-921-2050
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | A184415
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 21777
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 1019486
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License Number State | MA
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