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General NPI Number Information
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NPI Number | 1578041299
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Entity Type | Individual
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Provider Name | RYAN DAVID RIVERA OYOLA MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 703 AVE FERNANDEZ JUNCOS
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City | SAN JUAN
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State | PR
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Zip | 00907-4226
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Country | US
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Telephone | 787-977-7070
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7004
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City | PONCE
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State | PR
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Zip | 00732-7004
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 61691332
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 023545
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License Number State | PR
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