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General NPI Number Information
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NPI Number | 1962825893
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Entity Type | Organization
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Legal Business Name | PRIMA IMAGING, PSC
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | Z40 AVE LAUREL LOMAS VERDES URB LOMAS VERDES
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City | BAYAMON
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State | PR
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Zip | 00956-0000
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Country | US
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Telephone | 787-785-1011
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Fax | 787-286-7572
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Provider Business Mailing Address
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Address Line | PO BOX 3161
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City | BAYAMON
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State | PR
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Zip | 00960-3161
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Country | US
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Telephone | 787-787-7411
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Fax | 787-286-7572
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Authorized Official
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Title or Position | CONTACT PERSON
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Name | MRS. KAREN M RIVERA
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Credential |
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Telephone | 787-506-4161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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