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General NPI Number Information
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NPI Number | 1225144868
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Entity Type | Individual
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Provider Name | JOSE DAVID RIVERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 19 AVE JOSE DE DIEGO
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City | ARECIBO
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State | PR
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Zip | 00612-4546
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Country | US
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Telephone | 787-880-2200
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Fax | 787-878-0532
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Provider Business Mailing Address
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Address Line | PO BOX 141929
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City | ARECIBO
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State | PR
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Zip | 00614-1929
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Country | US
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Telephone | 787-880-2200
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Fax | 787-878-0532
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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 | 8871
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License Number State | PR
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