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General NPI Number Information
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NPI Number | 1841189198
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Entity Type | Organization
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Legal Business Name | DR. JESUS I. HERNANDEZ RIVERA LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | ROAD 111 KM 0.5
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-908-1541
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 7066
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City | MOCA
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State | PR
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Zip | 00676-9570
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Country | US
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Telephone | 787-546-2356
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Fax |
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Authorized Official
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Title or Position | MD
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Name | JESUS HERNANDEZ-RIVERA
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Credential | MD
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Telephone | 787-546-2356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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