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General NPI Number Information
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NPI Number | 1891951448
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Entity Type | Individual
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Provider Name | RICARDO J RIVAS ORTIZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | UNIVERSITY DISTRICT HOSPITAL MEDICAL CENTER UDH2 PO 2116
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City | SAN JUAN
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State | PR
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Zip | 00922-2116
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Country | US
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Telephone | 787-758-1800
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Fax |
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Provider Business Mailing Address
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Address Line | RR 36 BOX 1455
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City | SAN JUAN
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State | PR
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Zip | 00926-9719
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Country | US
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Telephone | 787-605-8781
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 18047
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License Number State | PR
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