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General NPI Number Information
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NPI Number | 1871270918
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Entity Type | Organization
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Legal Business Name | GASTRO-HEPATOLOGY INSTITUTE OF PUERTO RICO LLC
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 909 AVE TITO CASTRO SUITE 719 TORRE MEDICA SAN LUCAS
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City | PONCE
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State | PR
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Zip | 00716-4722
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Country | US
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Telephone | 787-401-9940
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 PASEOMONTE 381 AVE FELISA RICON DE GAUTIER
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City | SAN JUAN
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State | PR
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Zip | 00926-6665
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Country | US
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Telephone | 787-409-9940
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | HENDRICK PAGAN-TORRES
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Credential |
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Telephone | 787-646-5592
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number |
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License Number State |
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