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General NPI Number Information
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NPI Number | 1538251384
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Entity Type | Individual
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Provider Name | ENRIQUE GORBEA GONZALEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 202 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA OFFICE 104
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City | CAGUAS
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State | PR
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Zip | 00725-5527
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Country | US
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Telephone | 787-746-8383
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Fax | 787-743-5484
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Provider Business Mailing Address
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Address Line | 202 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA SUITE 004
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City | CAGUAS
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State | PR
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Zip | 00725-5527
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Country | US
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Telephone | 787-746-8383
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Fax | 787-743-5484
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 011730
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 011730
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License Number State | PR
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