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General NPI Number Information
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NPI Number | 1568344901
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Entity Type | Organization
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Legal Business Name | SOUTH-CENTRAL EMERGENCY GROUP LLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | HOSPITAL MENONITA CAYEY BO RINCON SECT LOMAS CARR 14
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City | CAYEY
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State | PR
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Zip | 00736-0001
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Country | US
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Telephone | 787-207-7900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3504
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City | JUNCOS
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State | PR
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Zip | 00777-3504
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Country | US
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Telephone | 787-207-7900
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | JOSE ORLANDO RIVERA RIVERA
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Credential | M.D.
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Telephone | 787-207-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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