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General NPI Number Information
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NPI Number | 1093807729
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Entity Type | Individual
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Provider Name | NELSON RIVERA MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 6 CALLE LUIS MUNOZ MARIN
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City | HORMIGUEROS
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State | PR
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Zip | 00660-1750
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Country | US
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Telephone | 787-849-3055
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Fax |
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Provider Business Mailing Address
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Address Line | URBANIZACION ESTANCIAS DEL RIO II CALLE YAGUEZ 774
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-849-3131
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 12357
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License Number State | PR
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