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General NPI Number Information
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NPI Number | 1134277031
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Entity Type | Organization
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Legal Business Name | NORAT RIVERA MERCADO INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | URBANIZACION VISTA DEL SOL MARGINAL A 10
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-825-2290
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Fax | 787-825-2290
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Provider Business Mailing Address
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Address Line | PO BOX 1902
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-825-2290
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Fax | 787-825-2290
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Authorized Official
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Title or Position | CO OWNER
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Name | MRS. TERESA RIVERA
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Credential | PH
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Telephone | 787-825-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 07F0053
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License Number State | PR
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