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General NPI Number Information
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NPI Number | 1396709028
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Entity Type | Individual
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Provider Name | MARIE L RIVERA MD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 11 INT AVE SAN LUIS HOSPITAL PAVIA ARECIBO SUITE 119
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City | ARECIBO
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State | PR
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Zip | 00612-3960
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Country | US
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Telephone | 787-650-7315
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Fax | 787-650-7316
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Provider Business Mailing Address
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Address Line | 618 TURIN ST. ESTANCIAS DE TORTUGUERO
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City | VEGA BAJA
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State | PR
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Zip | 00693-3626
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Country | US
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Telephone | 787-858-8439
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10394
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License Number State | PR
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