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NPI 1558301440

NPI 1558301440 : PEDRO F. ESCOBAR RODRIGUEZ MD : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1558301440
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    Entity Type          |    Individual 
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    Provider Name        |    PEDRO F. ESCOBAR RODRIGUEZ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/07/2006
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    Last Update Date     |    10/31/2024
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Provider Practice Location Address
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    Address Line         |    1492 AVE PONCE DE LEON STE 718 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00907-4024
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    Country              |    US
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    Telephone            |    787-300-5555
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    Fax                  |    787-300-5554
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Provider Business Mailing Address
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    Address Line         |    1492 AVE PONCE DE LEON STE 718 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00907-4024
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    Country              |    US
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    Telephone            |    787-300-5555
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    Fax                  |    787-300-5554
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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        |    207VX0201X
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    Taxonomy Name        |    Gynecologic Oncology Physician
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    License Number       |    16410
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    License Number State |    PR
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