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General NPI Number Information
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NPI Number | 1629289723
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Entity Type | Individual
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Provider Name | YANIRA RIOS MS
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CENTRO PEDIATRICO DE SERVICIOS DE HABILITACION, HPU
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City | SAN JUAN
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State | PR
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Zip | 00919-1079
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Country | US
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Telephone | 787-763-0550
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Fax | 787-763-1093
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Provider Business Mailing Address
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Address Line | CALLE 17 M2 URB. CIUDAD UNIVERSITARIA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-3412
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Country | US
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Telephone | 787-777-3535
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 640
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License Number State | PR
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