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General NPI Number Information
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NPI Number | 1134091614
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Entity Type | Organization
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Legal Business Name | REVIVA BY HH, LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 976 CALLE 42 SE URB. REPARTO METROPOLITANO
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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 | 787-637-6274
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2598
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City | GUAYNABO
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State | PR
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Zip | 00970-2598
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Country | US
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Telephone | 787-637-6274
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. HARRY EMILIO NEGRON JUDICE
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Credential | MD
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Telephone | 787-637-6274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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