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General NPI Number Information
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NPI Number | 1891663753
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Entity Type | Organization
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Legal Business Name | BRYAN VERA INFECTIOUS DISEASE SPECIALIST LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 917 AVE TITO CASTRO
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City | PONCE
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State | PR
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Zip | 00716-4717
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Country | US
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Telephone | 787-844-2080
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Fax |
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Provider Business Mailing Address
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Address Line | URB TERRA SENORIAL 123 CALLE CASTANIA
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City | PONCE
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State | PR
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Zip | 00731-9558
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Country | US
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Telephone | 786-759-0087
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | BRYAN AHMED VERA NIEVES
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Credential | MD
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Telephone | 786-769-0087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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