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General NPI Number Information
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NPI Number | 1568652048
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Entity Type | Individual
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Provider Name | CARLOS ALBERTO RIVEROS MD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 6705 S RED RD STE 522
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3649
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Country | US
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Telephone | 305-444-1213
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Fax | 305-444-1216
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Provider Business Mailing Address
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Address Line | 6705 S RED RD STE 522
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3649
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Country | US
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Telephone | 305-444-1213
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Fax | 305-444-1216
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT187382
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TRN10774
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 101122
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License Number State | FL
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