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General NPI Number Information
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NPI Number | 1275675175
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Entity Type | Individual
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Provider Name | ADA RODRIGUEZ RIVERA MD
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CARR #2 KM 8 5 BO JUAN SANCHEZ
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City | BAYAMON
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State | PR
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Zip | 00960-0248
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Country | US
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Telephone | 787-782-8250
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 364944
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City | SAN JUAN
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State | PR
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Zip | 00936-4944
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Country | US
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Telephone | 787-365-1891
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Fax | 787-273-1848
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 10419
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License Number State | PR
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