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General NPI Number Information
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NPI Number | 1215891353
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Entity Type | Individual
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Provider Name | KAYRA YANELIS RIVERA CHAVES
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | PLAZA SANTA TERESA II, LOCAL #7 AVE. SANTA TERESA JORNET #901
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City | MAYAGUEZ
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State | PR
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Zip | 00682
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Country | US
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Telephone | 939-376-1015
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Fax |
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Provider Business Mailing Address
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Address Line | JARDINES DE PONCE F23 CUNDEAMOR
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 939-376-1015
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17166
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License Number State | PR
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