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General NPI Number Information
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NPI Number | 1528371770
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Entity Type | Individual
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Provider Name | DR. NICOLE IRENA RIVERA-PEREZ
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Gender | Female
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | HOSPITAL WILMA VAZQUEZ CARR 2 K.M 39.5
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City | VEGA BAJA
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State | PR
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Zip | 00676-9998
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Country | US
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Telephone | 787-519-5693
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Fax | 787-650-4246
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Provider Business Mailing Address
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Address Line | URB SABANERA DORADO CAMINO TORRECILLA NUM 576
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City | DORADO
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State | PR
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Zip | 00676-9998
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Country | US
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Telephone | 787-519-5692
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Fax | 787-650-4246
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 20558
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License Number State | PR
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