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General NPI Number Information
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NPI Number | 1295837516
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Entity Type | Individual
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Provider Name | VIELKA M CINTRON RIVERA MD
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | MANATI MEDICAL CENTER SUITE 207
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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 | 787-621-3554
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Fax | 787-621-3553
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Provider Business Mailing Address
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Address Line | 425 CARR 693 PMB 137
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City | DORADO
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State | PR
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Zip | 00646-4802
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Country | US
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Telephone | 787-621-3554
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Fax | 787-621-3553
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13675
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License Number State | PR
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