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General NPI Number Information
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NPI Number | 1851778377
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Entity Type | Organization
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Legal Business Name | CARIVE OB GYN
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 06/29/2015
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Provider Practice Location Address
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Address Line | 307 TORRE MEDICA SAN CRISTOBAL
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City | COTO LAUREL
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State | PR
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Zip | 00780
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Country | US
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Telephone | 787-605-0225
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Fax | 787-848-0318
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Provider Business Mailing Address
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Address Line | 7007 PASEO LA FORTUNA HACIENDAS DEL MONTE
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City | COTO LAUREL
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State | PR
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Zip | 00780
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Country | US
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Telephone | 787-651-6691
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Fax | 787-651-6391
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROL RIVERA VEGA
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Credential | M.D.
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Telephone | 787-651-6691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 18737
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License Number State | PR
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