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General NPI Number Information
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NPI Number | 1851288500
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Entity Type | Individual
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Provider Name | NELSON ALEXIS RIVERA
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Gender |
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | CARRETERA 349 KM 3.1 CERRO LAS MESAS
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City | MAYAGUEZ
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State | PR
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Zip | 00681
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Country | US
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Telephone | 787-834-7991
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 21524
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City | CABO ROJO
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State | PR
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Zip | 00623-9279
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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 |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 000884
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License Number State | PR
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