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General NPI Number Information
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NPI Number | 1235116187
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Entity Type | Individual
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Provider Name | EZEQUIEL RIVERA RODRIGUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | TORRE MEDICA AUXILIO MUTUO PONCEDELEON AVE STE 416
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City | SAN JUAN
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State | PR
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Zip | 00919
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Country | US
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Telephone | 787-751-0323
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Fax | 787-751-5517
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Provider Business Mailing Address
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Address Line | PO BOX 360337
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City | SAN JUAN
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State | PR
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Zip | 00936-0337
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Country | US
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Telephone | 787-751-0373
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Fax | 787-751-5517
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 3015
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License Number State | PR
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