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General NPI Number Information
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NPI Number | 1487561692
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Entity Type | Individual
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Provider Name | ANDREA PAOLA RIVERA LAFORET PTA
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | CAR 2 K156 H5 VISTA VERDE SHOPPING
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-597-7061
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Fax |
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Provider Business Mailing Address
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Address Line | URB. BORINQUEN J1 CALLE FRANCISCO OLLER
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-413-8485
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 4163
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License Number State | PR
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