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General NPI Number Information
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NPI Number | 1841257763
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Entity Type | Individual
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Provider Name | PEDRO NELSON COLBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 525 AVE FD ROOSEVELT SUITE 602
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City | SAN JUAN
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State | PR
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Zip | 00918-8001
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Country | US
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Telephone | 787-250-8341
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Fax | 787-765-1591
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Provider Business Mailing Address
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Address Line | 101 SAN PATRICIO AVE MARAMAR PLAZA, SUITE 840
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-706-8341
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Fax | 787-706-5223
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 8258
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License Number State | PR
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