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General NPI Number Information
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NPI Number | 1578362661
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Entity Type | Organization
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Legal Business Name | DR. RAMON CRUZ RIVERA LLC
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 258 CALLE SAN JORGE
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City | SAN JUAN
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State | PR
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Zip | 00912-0000
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Country | US
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Telephone | 787-727-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 404
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City | DORADO
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State | PR
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Zip | 00646-0404
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Country | US
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Telephone | 787-648-0810
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMON L. CRUZ RIVERA
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Credential | M.D.
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Telephone | 787-648-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number |
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License Number State |
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Taxonomy #4
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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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