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General NPI Number Information
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NPI Number | 1346133139
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Entity Type | Individual
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Provider Name | WILMER ALFREDO RIVERA TORRES
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Gender | Male
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1473 AVE WILSON STE 304
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City | SAN JUAN
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State | PR
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Zip | 00907-2364
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Country | US
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Telephone | 787-489-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 868 STREET 15, URB. MONTE CARLO
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-527-8500
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 8532
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-407473
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License Number State | PR
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