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General NPI Number Information
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NPI Number | 1437691367
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Entity Type | Organization
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Legal Business Name | GASTROSPA CORP
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 1 AVE PALMA REAL MURANO LUXURY APT 617
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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 | 787-640-6682
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Fax | 888-506-3713
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Provider Business Mailing Address
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Address Line | 1 AVE PALMA REAL APT 617
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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 | 787-640-6682
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Fax | 888-506-3713
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS A ARTURI
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Credential | MD
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Telephone | 787-671-8979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | 15066
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License Number State | PR
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