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General NPI Number Information
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NPI Number | 1073492252
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Entity Type | Individual
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Provider Name | JAIMARIE CRUZ RIVERA
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Gender | Female
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 656 AVE PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00918-4521
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Country | US
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Telephone | 787-998-8997
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Fax |
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Provider Business Mailing Address
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Address Line | 20 CALLE MELERO
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City | PONCE
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State | PR
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Zip | 00730-3533
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Country | US
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Telephone | 787-297-5986
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 88431
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License Number State | PR
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