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General NPI Number Information
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NPI Number | 1427179795
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Entity Type | Organization
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Legal Business Name | YANFER SURGICAL GROUP CSP
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 1399 FERIA
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City | SAN JUAN
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State | PR
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Zip | 00910-1416
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Country | US
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Telephone | 787-303-5410
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Fax | 787-303-5411
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Provider Business Mailing Address
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Address Line | PO BOX 19416
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City | SAN JUAN
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State | PR
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Zip | 00910-1416
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Country | US
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Telephone | 787-303-5410
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Fax | 787-303-5411
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Authorized Official
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Title or Position | OWNER
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Name | DR. FERNANDO RIVERA
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Credential | MD
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Telephone | 787-303-5410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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