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General NPI Number Information
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NPI Number | 1033305123
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Entity Type | Individual
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Provider Name | CAROLINE A RIVERA OLMO M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2 CALLE MARGINAL KM 43.2 BO ALGARROBO
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City | VEGA BAJA
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State | PR
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Zip | 00693-3844
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Country | US
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Telephone | 787-970-0708
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Fax | 787-970-1105
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Provider Business Mailing Address
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Address Line | PO BOX 212
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City | BARCELONETA
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State | PR
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Zip | 00617-0212
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Country | US
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Telephone | 787-404-2323
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 16886
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License Number State | PR
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