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General NPI Number Information
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NPI Number | 1649289398
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Entity Type | Individual
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Provider Name | ANGEL L RIVERA MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | SUITE 205 HOSPITAL METROPOLITANO CARRETERA 21 #1785
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-781-8506
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CALLE VANDA
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City | GUAYNABO
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State | PR
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Zip | 00966-3151
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Country | US
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Telephone | 787-781-8506
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 3346
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License Number State | PR
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