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General NPI Number Information
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NPI Number | 1427181338
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Entity Type | Individual
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Provider Name | CARLOS FRANCIS RIVERA
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | CARR 308 KM 6.1 SERENITY BY THE SEA APT BF2
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City | RABO ROJO
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State | PR
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Zip | 00623-0084
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Country | US
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Telephone | 787-238-5364
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Fax |
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Provider Business Mailing Address
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Address Line | 65 INFANTERIA #67 SUITE B-201
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City | ANASCO
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State | PR
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Zip | 00610-0084
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Country | US
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Telephone | 787-826-0932
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Fax | 787-826-6082
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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 | 171W00000X
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Taxonomy Name | Contractor
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 141PA
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License Number State | PR
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