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NPI 1003829789

NPI 1003829789 : ERICKA RIVERA CASTRO MD : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1003829789
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    Entity Type          |    Individual 
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    Provider Name        |    ERICKA RIVERA CASTRO MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/14/2006
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    Last Update Date     |    05/27/2008
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Provider Practice Location Address
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    Address Line         |    826 AVE MOLUCAS ITURREGUI
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00924
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    Country              |    US
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    Telephone            |    787-769-1571
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    Fax                  |    787-257-6180
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Provider Business Mailing Address
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    Address Line         |    826 AVE MOLUCAS ITURREGUI
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00924
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    Country              |    US
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    Telephone            |    787-769-1571
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    Fax                  |    787-257-6180
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    7526
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    License Number State |    PR
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