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General NPI Number Information
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NPI Number | 1730192311
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Entity Type | Organization
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Legal Business Name | ROSA M RIVERA RODRIGUEZ
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | PMB 332 BOX 607071
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City | BAYAMON
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State | PR
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Zip | 00960-7071
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Country | US
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Telephone | 787-778-8092
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Fax |
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Provider Business Mailing Address
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Address Line | EXT FOREST HILL CALLE ECUADOR K-366
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City | BAYAMON
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State | PR
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Zip | 00959-0001
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Country | US
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Telephone | 787-778-8092
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSA RIVERA
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Credential |
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Telephone | 787-778-8092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TCAMB176
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License Number State | PR
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