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General NPI Number Information
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NPI Number | 1750346128
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Entity Type | Individual
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Provider Name | ALAN CACHO RIVERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | CARR 866 PARCELA 62
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City | TO0A BAJA
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State | PR
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Zip | 00952
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Country | US
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Telephone | 787-452-4139
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Fax |
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Provider Business Mailing Address
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Address Line | JARDINES DE CAPARRA J21 CALLE 5
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City | BAYAMON
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State | PR
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Zip | 00959-7819
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Country | US
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Telephone | 787-452-4139
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14706
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14706
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License Number State | PR
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