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General NPI Number Information
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NPI Number | 1083233522
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Entity Type | Individual
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Provider Name | VICTOR LEANDRO GUZMAN RIVERA MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-4717
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Country | US
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Telephone | 216-444-2200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1757
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City | COAMO
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State | PR
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Zip | 00769-1757
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22784
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 22784
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.152952
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License Number State | OH
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