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NPI 1841667011

NPI 1841667011 : SILVIA E. NIEVES CORDERO : CAMUY, PR

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General NPI Number Information
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    NPI Number           |    1841667011
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    Entity Type          |    Organization 
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    Legal Business Name  |    SILVIA E. NIEVES CORDERO 
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Dates
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    Enumeration Date     |    08/24/2015
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    Last Update Date     |    08/24/2015
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Provider Practice Location Address
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    Address Line         |    HC 6 BOX 61789 
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    City                 |    CAMUY
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    State                |    PR
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    Zip                  |    00627-8835
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    Country              |    US
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    Telephone            |    787-374-8560
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    HC 6 BOX 61789 
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    City                 |    CAMUY
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    State                |    PR
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    Zip                  |    00627-8835
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICAL THERAPIST
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    Name                 |     SILVIA  NIEVES 
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    Credential           |    
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    Telephone            |    787-374-8560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    1051-1
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    License Number State |    PR
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