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General NPI Number Information
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NPI Number | 1700736089
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Entity Type | Individual
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Provider Name | MS. KIARA GABRIELA RIVERA FUENTES JR.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | E15 CALLE 4
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City | COROZAL
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State | PR
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Zip | 00783-2408
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Country | US
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Telephone | 787-430-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 4E15 URB MARIA DEL CARMEN
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City | COROZAL
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State | PR
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Zip | 00783
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Country | US
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Telephone | 787-430-4222
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 016971
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License Number State | PR
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