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General NPI Number Information
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NPI Number | 1093237786
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Entity Type | Individual
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Provider Name | MELVIN DANIEL RIVERA CARRERO MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 21 S CHARLES RICHARD BEALL BLVD
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City | DEBARY
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State | FL
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Zip | 32713-3332
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Country | US
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Telephone | 386-516-0930
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Fax | 386-668-6897
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 321-758-2966
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Fax | 407-286-4515
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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 | 34654R
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 33359
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME165828
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License Number State | FL
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