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General NPI Number Information
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NPI Number | 1841496189
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Entity Type | Individual
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Provider Name | MYRANGELISSE RIOS MD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 258 SAN JORGE STREET SAN JORGE MEDICAL BUILDING SUITE 203
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City | SAN JUAN
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State | PR
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Zip | 00912
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Country | US
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Telephone | 787-726-0184
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Fax | 787-727-7266
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Provider Business Mailing Address
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Address Line | 258 SAN JORGE STREET SAN JORGE MEDICAL BUILDING SUITE 203
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City | SAN JUAN
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State | PR
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Zip | 00912
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Country | US
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Telephone | 787-726-0184
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Fax | 787-727-7266
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 17800
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 17800
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License Number State | PR
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