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General NPI Number Information
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NPI Number | 1235096884
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Entity Type | Individual
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Provider Name | CHRISTIAN RUBEN DE LEON RIVERA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | CARR. 149 KM 3.0 BO COTTO SUR
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-854-2041
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Fax | 787-884-9039
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Provider Business Mailing Address
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Address Line | 3150 CALLE MONTE COQUI
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City | MANATI
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State | PR
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Zip | 00674-6315
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Country | US
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Telephone | 787-854-2041
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Fax | 787-884-9039
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 008187
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License Number State | PR
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