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NPI 1497619746

NPI 1497619746 : RIVERA RAMIREZ LLC : PONCE, PR

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General NPI Number Information
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    NPI Number           |    1497619746
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIVERA RAMIREZ LLC 
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Dates
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    Enumeration Date     |    12/11/2025
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    917 AVE TITO CASTRO 
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00716-4717
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    Country              |    US
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    Telephone            |    787-560-4314
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 227 
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    City                 |    SAN GERMAN
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    State                |    PR
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    Zip                  |    00683-0000
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    Country              |    US
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    Telephone            |    787-560-4314
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/OWNER
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    Name                 |     PEDRO ORLANDO RIVERA RAMIREZ DE ARELLANO 
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    Credential           |    MD
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    Telephone            |    787-560-4314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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