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General NPI Number Information
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NPI Number | 1396598421
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Entity Type | Organization
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Legal Business Name | BORIKEN MEDICAL SERVICES
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | URB PRADERA NORTE AX2 CALLE 1
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City | TOA BAJA
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State | PR
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Zip | 00949-3693
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Country | US
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Telephone | 787-925-7008
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Fax |
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Provider Business Mailing Address
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Address Line | URB PRADERA NORTE AX 2 CALLE 1
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City | TOA BAJA
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State | PR
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Zip | 00949-3693
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Country | US
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Telephone | 787-795-5843
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEANEISHKA M RIVERA RIOS
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Credential | MD
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Telephone | 787-925-7008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal 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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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