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General NPI Number Information
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NPI Number | 1437945300
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Entity Type | Individual
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Provider Name | MANUEL ALEJANDRO RIVERA CORA
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Gender | Male
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | DOS CUERDAS, CARR #3 KM 19.9 BARRIO
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City | CANOVANAS
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State | PR
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Zip | 00729
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Country | US
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Telephone | 787-221-8828
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Fax |
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Provider Business Mailing Address
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Address Line | URB ALT DE BERWIND 22 CALLE 1
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1063
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License Number State | PR
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