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General NPI Number Information
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NPI Number | 1548093644
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Entity Type | Organization
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Legal Business Name | RODRIGUEZ MARTINO MEDICAL GROUP LLC
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Dates
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Enumeration Date | 08/23/2024
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 200 BOULEVARD DE LA FUENTE, VILLAS DE PASEO SOL #18
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 939-376-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BOULEVARD DE LA FUENTE, VILLAS DE PASEO SOL #18
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City | SAN JUAN
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State | PR
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Zip | 00926-5964
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ESTEBAN RODRIGUEZ MARTINO
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Credential | MD
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Telephone | 939-376-4005
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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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