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General NPI Number Information
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NPI Number | 1750824876
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Entity Type | Individual
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Provider Name | KRISTINA RIVERA MS, LND, RD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | CENTRO MEDICO- HOSP MUNICIPAL SAN JUAN 4TO PISO BARRIO MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00936-8344
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Country | US
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Telephone | 787-480-2762
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70344 PMB 128
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City | SAN JUAN
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State | PR
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Zip | 00936-8344
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Country | US
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Telephone | 787-480-2762
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 1979
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License Number State | PR
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