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General NPI Number Information
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NPI Number | 1851555023
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Entity Type | Individual
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Provider Name | RICARDO GAGO PINERO MD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 867 AVENIDA MUNOZ RIVERA SUITE A-101 VICK CENTER
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City | SAN JUAN
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-505-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CALLE HOLLYWOD DR
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City | SAN JUAN
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State | PR
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Zip | 00926-8326
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Country | US
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Telephone | 787-505-1222
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28041R
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 018159
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 18159
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License Number State | PR
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