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General NPI Number Information
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NPI Number | 1770527632
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Entity Type | Organization
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Legal Business Name | GRH ANESTHESIA GROUP, PSC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | COND TORRE AUXILIO MUTUO OFICINA 704 735 AVE PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00917-5026
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Country | US
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Telephone | 787-765-8620
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Fax | 787-767-6138
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Provider Business Mailing Address
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Address Line | COND TORRE AUXILIO MUTUO OFICINA 704 735 AVE PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00917-5026
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Country | US
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Telephone | 787-765-8620
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Fax | 787-767-6138
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | AIXA MORENO
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Credential |
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Telephone | 787-765-8620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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