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Organization
GASTRO ATENAS LLC
Active
Organization
GASTRO ATENAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL TIRADO MD (CEO)
(787) 226-8142
Entity
Organization
Contact information
Practice address
93 PASEO ATENAS, MANATI, PR 00674-5368
(787) 854-7363
Mailing address
1511 AVE PONCE DE LEON APT 1243, COND CIUDADELA, SAN JUAN, PR 00909-5001
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20618
PR
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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