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General NPI Number Information
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NPI Number | 1902780638
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Entity Type | Individual
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Provider Name | GABRIELA SOTOMAYOR
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1349 CALLE SALUD
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City | PONCE
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State | PR
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Zip | 00717-2017
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Country | US
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Telephone | 787-662-8150
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 6441
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City | SANTA ISABEL
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State | PR
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Zip | 00757-9778
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Country | US
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Telephone | 787-662-8150
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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 | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number | 7873
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License Number State | PR
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