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General NPI Number Information
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NPI Number | 1275408494
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Entity Type | Organization
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Legal Business Name | SERVICIOS MEDICOS RRG & ASOC PSC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | CARR.925 KM.0.3 RIO ABAJO MARGINAL JUNQUITO
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 939-529-8179
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Fax |
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Provider Business Mailing Address
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Address Line | HC 12 BOX 5623
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City | HUMACAO
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State | PR
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Zip | 00791-9205
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Country | US
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Telephone | 939-529-8179
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMMANUEL RIVERA GONZALEZ
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Credential | MD
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Telephone | 939-529-8179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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