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General NPI Number Information
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NPI Number | 1932564689
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Entity Type | Organization
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Legal Business Name | DAYNA RIVERA TORRES
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | HC 01 BOX 4028
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-484-3492
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 4028
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City | VILLALBA
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State | PR
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Zip | 00766-9852
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Country | US
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Telephone | 787-484-3492
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | RIVERA TORRES DAYNA
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Credential |
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Telephone | 787-484-3492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 868
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License Number State | PR
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