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General NPI Number Information
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NPI Number | 1164550307
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Entity Type | Individual
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Provider Name | STEVEN RIVAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | #410 AVE. GENERAL VALERO TORRE MDICA HIMA SAN PABLO FAJARDO SUITE # 305
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-801-1675
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Fax | 787-801-1677
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Provider Business Mailing Address
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Address Line | PO BOX 975
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City | TRUJILLO ALTO
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State | PR
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Zip | 00977-0975
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Country | US
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Telephone | 787-801-1675
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Fax | 787-801-1677
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 13609
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 13609
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License Number State | PR
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