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General NPI Number Information
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NPI Number | 1003727199
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Entity Type | Organization
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Legal Business Name | HS GENESIS RIVERA DE JESUS
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | URB. VALLE PARAISO C8, LOS LLANOS
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 939-243-4884
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 318
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City | VILLALBA
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State | PR
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Zip | 00766-0318
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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 | DIRECTORA
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Name | GENESIS RIVERA DE JESUS
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Credential |
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Telephone | 939-243-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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