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General NPI Number Information
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NPI Number | 1477377703
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Entity Type | Organization
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Legal Business Name | METRO ADVANCED GI
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 735 AVE PONCE DE LEON, STE 816 HOSPITAL AUXILIO MUTUO
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City | SAN JUAN
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State | PR
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Zip | 00917-0001
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Country | US
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Telephone | 787-763-1025
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Fax |
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Provider Business Mailing Address
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Address Line | 450 AVE DE LA CONSTITUCION PH F
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City | SAN JUAN
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State | PR
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Zip | 00901-2311
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Country | US
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Telephone | 787-360-7678
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PEDRO ROSA-CORTES
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Credential | MD
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Telephone | 787-360-7678
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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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