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General NPI Number Information
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NPI Number | 1881655587
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Entity Type | Individual
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Provider Name | DELMARI RIVERA FERNANDEZ O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | AVE MONSERRATE VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00985-5444
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Country | US
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Telephone | 787-762-5465
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Fax | 787-762-5495
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Provider Business Mailing Address
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Address Line | PMB 540-6017
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City | CAROLINA
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State | PR
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Zip | 00984-6017
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Country | US
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Telephone | 787-762-5465
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Fax | 787-762-5495
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0123
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License Number State | PR
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