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General NPI Number Information
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NPI Number | 1174395909
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Entity Type | Individual
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Provider Name | NATHALIE E ROMAN RIVERA D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 295 PALMAS INN WAY, STE 125 PALMANOVA PLAZA, PALMAS DEL MAR
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 404-988-0420
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CALLE RIQUEZA
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City | CAGUAS
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State | PR
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Zip | 00727-7062
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Country | US
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Telephone | 404-988-0420
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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 | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 952
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License Number State | PR
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