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General NPI Number Information
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NPI Number | 1508073164
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Entity Type | Individual
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Provider Name | MARIBEL RIVERA
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | CENTRO INTERNACIONAL DE MERCADEO TORRE 165 1 SUITE 401
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-638-0324
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Fax |
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Provider Business Mailing Address
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Address Line | COOP. CIUDAD UNIVERSITARIA AVE. PERIFERAL 1 APT. 905
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-2124
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Country | US
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Telephone | 787-638-0324
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1624
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License Number State | PR
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