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General NPI Number Information
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NPI Number | 1780036889
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Entity Type | Individual
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Provider Name | ALBERTO A RIVERA TORRES MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 22711 S ELLSWORTH ROAD SUITE 104
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-6789
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Country | US
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Telephone | 480-782-0993
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Fax | 833-337-0386
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Provider Business Mailing Address
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Address Line | 1661 E CAMELBACK ROAD SUITE 200
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City | PHOENIX
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State | AZ
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Zip | 85016-3913
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Country | US
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Telephone | 602-422-9000
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Fax | 602-556-5951
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 59535
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License Number State | AZ
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