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General NPI Number Information
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NPI Number | 1932919115
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Entity Type | Organization
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Legal Business Name | GSA MEDICAL LLC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 8 AVE LAS CUMBRES
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City | GUAYNABO
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State | PR
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Zip | 00969-4818
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Country | US
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Telephone | 787-708-6535
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3951
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City | GUAYNABO
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State | PR
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Zip | 00970-3951
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LEONARDO VALENTIN GONZALEZ
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Credential | MD
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Telephone | 787-708-6535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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