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General NPI Number Information
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NPI Number | 1902627383
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Entity Type | Individual
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Provider Name | ALONDRA ZOE RIVERA TORRES
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Gender | Female
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 998 SAN ROBERTO STREET PROFESSIONAL OFFICE PARK
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-773-6501
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Fax |
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Provider Business Mailing Address
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Address Line | CONDOMINIO RIVER PARK 10 CALLE SANTA CRUZ APARTAMENTO L202
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City | BAYAMON
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State | PR
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Zip | 00961-8500
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Country | US
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Telephone | 787-925-9869
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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