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General NPI Number Information
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NPI Number | 1184870925
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Entity Type | Individual
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Provider Name | ISMAEL SOLIS RIVERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 100 CII SATURNINO RODRIGUEZ
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City | YABUCOA
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State | PR
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Zip | 00767
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Country | US
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Telephone | 787-953-0120
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Fax |
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Provider Business Mailing Address
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Address Line | D 19 URB VILLA MAR MEDITERRANEO
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 939-339-9288
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN425
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17189
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License Number State | PR
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