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General NPI Number Information
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NPI Number | 1710024278
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Entity Type | Individual
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Provider Name | JOSE J ORDEIN MD.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 715 AVE PONCE DE LEON STOP 37.5
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City | SAN JUAN
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State | PR
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Zip | 00917-5032
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Country | US
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Telephone | 787-758-2000
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Fax | 787-771-7996
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Provider Business Mailing Address
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Address Line | PO BOX 2674
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City | BAYAMON
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State | PR
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Zip | 00960-2674
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Country | US
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Telephone | 787-771-7999
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Fax | 787-771-7996
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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 | 9135
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 9135
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 9135
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License Number State | PR
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