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General NPI Number Information
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NPI Number | 1023512837
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Entity Type | Individual
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Provider Name | VANESSA VANDO RIVERA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 10 CALLE CASIA
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City | SAN JUAN
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State | PR
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Zip | 00921-3201
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Country | US
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Telephone | 787-641-7582
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Fax | 787-641-4561
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Provider Business Mailing Address
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Address Line | 35 CALLE JUAN C BORBON STE 67 #256
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-308-3138
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21281
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 21281
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 21281
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License Number State | PR
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