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General NPI Number Information
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NPI Number | 1942129879
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Entity Type | Individual
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Provider Name | JOSEANN MANUEL RIVERA
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Gender | Male
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 2190 PONCE BYP
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City | PONCE
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State | PR
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Zip | 00716-0315
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Country | US
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Telephone | 787-844-4628
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Fax |
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Provider Business Mailing Address
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Address Line | A12 CALLE ORQUIDEA URBANIZACION SANTA ELENA 2
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City | GUAYANILLA
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State | PR
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Zip | 00656-1449
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Country | US
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Telephone | 787-677-2300
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4611
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License Number State | PR
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