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General NPI Number Information
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NPI Number | 1578761250
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Entity Type | Individual
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Provider Name | MARTIN GILBERTO ROSARIO PT, DS
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Gender | Male
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | CARR 689 B0 CEIBA CARMELITA BUZON #1
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-414-6395
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 689 B0 CEIBA CARMELITA BUZON #1
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-414-6395
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Fax |
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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 | 1371
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1371
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License Number State | PR
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