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General NPI Number Information
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NPI Number | 1104916659
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Entity Type | Organization
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Legal Business Name | METROPOLITAN NEPHROLOGY ASSOCIATES PSC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | HOSPITAL METROPOLITANO SUITE 205 CARR 21 #1785
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-781-8506
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Fax | 787-749-0392
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Provider Business Mailing Address
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Address Line | PO BOX 1856
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City | BAYAMON
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State | PR
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Zip | 00960-1856
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Country | US
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Telephone | 787-781-8506
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Fax | 787-749-0392
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANGEL L RIVERA
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Credential | MD
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Telephone | 787-781-8506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 3346
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License Number State | PR
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