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General NPI Number Information
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NPI Number | 1770423543
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Entity Type | Organization
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Legal Business Name | G&A GASTRO LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | URB REXVILLE C11 CALLE EL PARDO
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-905-7383
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Fax | 787-905-7382
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Provider Business Mailing Address
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Address Line | PO BOX 9812
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City | SAN JUAN
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State | PR
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Zip | 00908-0812
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Country | US
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Telephone | 787-406-0380
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Fax | 787-905-7382
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Authorized Official
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Title or Position | PRESIDENT / PHYSICIAN
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Name | DR. EKIE G VAZQUEZ
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Credential | M.D.
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Telephone | 787-406-0380
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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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