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General NPI Number Information
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NPI Number | 1215429543
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Entity Type | Individual
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Provider Name | CARLOS ALEJANDRO RIVERA MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1625 N CAMPBELL AVE
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City | TUCSON
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State | AZ
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Zip | 85719-4330
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Country | US
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Telephone | 520-694-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 6040 N TOCITO PL
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City | TUCSON
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State | AZ
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Zip | 85718-3553
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Country | US
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Telephone | 786-495-3749
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 76076
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License Number State | AZ
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