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General NPI Number Information
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NPI Number | 1811332315
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Entity Type | Individual
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Provider Name | PEDRO A ROSA-CORTES MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 735 AVE PONCE DE LEON, STE 816 HOSPITAL AUXILIO MUTUO
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 787-763-1025
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Fax |
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Provider Business Mailing Address
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Address Line | 450 AVE DE LA CONSTITUCION PH F
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City | SAN JUAN
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State | PR
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Zip | 00901-2311
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Country | US
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Telephone | 787-360-7678
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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 | 85161
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License Number State | WI
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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 | 19463
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19463
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License Number State | PR
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