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General NPI Number Information
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NPI Number | 1376060103
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Entity Type | Individual
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Provider Name | KEVIN A PINERO RIOS MSW
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Gender | Male
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | CARR. 111, KM 5.1 BO. PUEBLO
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City | MOCA
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State | PR
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Zip | 00676
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Country | US
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Telephone | 787-241-0220
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Fax |
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Provider Business Mailing Address
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Address Line | URB HACIENDA LA SABANA #75 CALLE OCEANO
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City | QUEBRADILLAS
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State | PR
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Zip | 00678
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Country | US
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Telephone | 787-241-0220
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13774
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 8527
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License Number State | PR
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