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General NPI Number Information
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NPI Number | 1093686834
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Entity Type | Organization
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Legal Business Name | RIVERA RIVERA DENTAL LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1738 CALLE AMARILLO EDF. SUMMIT, SUITE 104
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City | SAN JUAN
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State | PR
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Zip | 00926-3072
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Country | US
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Telephone | 787-340-8691
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 417
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City | TRUJILLO ALTO
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State | PR
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Zip | 00977-0417
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Country | US
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Telephone | 787-340-8691
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LLELENYS PAOLA RIVERA RIVERA
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Credential | DMD, MS
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Telephone | 787-340-8691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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