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General NPI Number Information
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NPI Number | 1366320723
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Entity Type | Organization
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Legal Business Name | RRPR MEDICAL GROUP LLC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 10 CALLE CASIA
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City | SAN JUAN
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State | PR
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Zip | 00921-3200
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Country | US
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Telephone | 787-641-7285
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Fax |
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Provider Business Mailing Address
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Address Line | RR 5 BOX 7881
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City | TOA ALTA
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State | PR
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Zip | 00953-7833
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Country | US
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Telephone | 787-641-7582
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHANIE RIVERA RIVERA
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Credential | MD
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Telephone | 787-641-7582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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