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General NPI Number Information
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NPI Number | 1588922520
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Entity Type | Individual
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Provider Name | RODOLFO ESTREMERA-MARCIAL MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 1801 SANTURCE MEDICAL MALL SUITE 409-410
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City | SAN JUAN
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State | PR
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Zip | 00919
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Country | US
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Telephone | 939-338-0793
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Fax |
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Provider Business Mailing Address
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Address Line | 5 TERRAZAS DE CARRAIZO
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City | SAN JUAN
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State | PR
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Zip | 00926-9189
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Country | US
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Telephone | 787-748-1893
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 18778
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 018778
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License Number State | PR
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