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General NPI Number Information
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NPI Number | 1295535045
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Entity Type | Individual
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Provider Name | KIARA RIVAS
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 900 CARR 696
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City | DORADO
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State | PR
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Zip | 00646-5718
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Country | US
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Telephone | 787-625-5050
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Fax |
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Provider Business Mailing Address
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Address Line | HC 70 BOX 30408
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City | SAN LORENZO
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State | PR
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Zip | 00754-9704
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Country | US
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Telephone | 787-909-1355
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5503-PA
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License Number State | PR
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