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General NPI Number Information
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NPI Number | 1477436764
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Entity Type | Organization
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Legal Business Name | MORA ENDOCRINOLOGY AND DIABETES CLINIC LLC
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | DEL NORTE PROFESSIONAL CENTER OFICINA 303 CARR 493 BO CARRIZALES KM 0.9
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-224-4902
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Fax |
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Provider Business Mailing Address
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Address Line | CONDOMINIO PARQUE CENTRO ALEU C28 170 AVE ARTERIAL AV H
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-567-9122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GABRIEL MORA OSORIA
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Credential | MD
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Telephone | 787-567-9122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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