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General NPI Number Information
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NPI Number | 1821061383
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Entity Type | Individual
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Provider Name | JOEL J. DE JESUS MD
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | MARGINAL AVE. PEDRO ALBIZU CAMPOS 222 URB VIVES CALLE 4
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-866-4005
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Fax | 787-866-4072
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Provider Business Mailing Address
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Address Line | PO BOX 510
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City | GUAYAMA
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State | PR
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Zip | 00785-0510
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Country | US
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Telephone | 787-866-4005
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Fax | 787-866-4072
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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 | 14017
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License Number State | PR
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