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General NPI Number Information
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NPI Number | 1841632718
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Entity Type | Organization
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Legal Business Name | ADVANCED ENDOCRINOLOGY CENTER, P.S.C.
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | ST. # 2 KM 12.3 HNAS. DAVILA METRO MEDICAL CENTER OFF. A-610
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-527-9896
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Fax | 787-765-9183
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Provider Business Mailing Address
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Address Line | 1995 ST. # 2 SUITE. 1610 METRO MEDICAL CENTER
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City | BAYAMON
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State | PR
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Zip | 00959-1610
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Country | US
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Telephone | 787-527-9896
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Fax | 787-765-9183
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAFAEL A GONZALEZ-ROSARIO
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Credential | M.D.
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Telephone | 787-506-1129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 17069
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License Number State | PR
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