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General NPI Number Information
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NPI Number | 1699696203
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Entity Type | Organization
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Legal Business Name | RM GASTROENTEROLOGY LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 1431 AVE PONCE DE LEON STE 402
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City | SAN JUAN
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State | PR
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Zip | 00907-4033
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Country | US
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Telephone | 787-723-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 155 AVE HOSTOS APT G116
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City | SAN JUAN
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State | PR
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Zip | 00918-4232
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Country | US
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Telephone | 787-307-6042
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | DR. LUCIA RIVERA MATOS
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Credential | MD
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Telephone | 787-307-6042
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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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Taxonomy #2
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number |
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License Number State |
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