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General NPI Number Information
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NPI Number | 1043342850
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Entity Type | Organization
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Legal Business Name | RAMON LUIS DIAZ- RIVERE
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 15 CALLE PALMER
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City | CIALES
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State | PR
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Zip | 00638-3235
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Country | US
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Telephone | 787-871-4812
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1080
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City | CIALES
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State | PR
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Zip | 00638-1080
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Country | US
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Telephone | 787-871-4812
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Fax | 787-871-1323
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. RAMON LUIS DIAZ-RIVERA
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Credential | RPH
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Telephone | 787-871-4812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3657
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License Number State | PR
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