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General NPI Number Information
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NPI Number | 1811446230
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Entity Type | Individual
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Provider Name | NATHALIE MARIE RIVERA-MORALES MD
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Gender | Female
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | UNIVERSITY OF PUERTO RICO RECINTO DE CIENCIAS MEDICAS APARTADO 365067
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City | SAN JUAN
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State | PR
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Zip | 00936-5067
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Country | US
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Telephone | 787-758-2525
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Fax |
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Provider Business Mailing Address
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Address Line | D6 CALLE 2 HACIENDAS EL ZORZAL
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-359-3524
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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 | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | 22379
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 22379
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License Number State | PR
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