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General NPI Number Information
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NPI Number | 1629793542
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Entity Type | Individual
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Provider Name | ALNELIE M RIVERA PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | CARR 152 KM 5 HT 9
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City | NARANJITO
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State | PR
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Zip | 00719
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Country | US
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Telephone | 787-460-3230
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Fax |
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Provider Business Mailing Address
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Address Line | HC 72 BOX 3376
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City | NARANJITO
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State | PR
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Zip | 00719-8701
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Country | US
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Telephone | 787-460-3230
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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 | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 3650
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 3650
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3650
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License Number State | PR
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