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General NPI Number Information
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NPI Number | 1407830250
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Entity Type | Individual
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Provider Name | ROBERTO M. VENDRELL MD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | #11 CARAZO STREET BAJOS
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City | GUAYNABO
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State | PR
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Zip | 00969-0000
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Country | US
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Telephone | 787-220-4053
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2320
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City | GUAYNABO
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State | PR
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Zip | 00970-2320
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Country | US
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Telephone | 787-428-7313
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 16266
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License Number State | PR
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