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NPI 1972141133

NPI 1972141133 : ELANE RIVERA-VELEZ MD : RINCON, PR

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General NPI Number Information
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    NPI Number           |    1972141133
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    Entity Type          |    Individual 
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    Provider Name        |    ELANE RIVERA-VELEZ MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2019
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    28 CALLE MUNOZ RIVERA W 
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    City                 |    RINCON
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    State                |    PR
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    Zip                  |    00677-2127
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    Country              |    US
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    Telephone            |    787-823-5500
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    Fax                  |    787-823-2990
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Provider Business Mailing Address
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    Address Line         |    115 URB LA ALBORADA 
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    City                 |    SABANA GRANDE
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    State                |    PR
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    Zip                  |    00637-1567
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    Country              |    US
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    Telephone            |    939-491-1744
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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       |    15333I
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    License Number State |    PR
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Taxonomy #2
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    22491
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    License Number State |    PR
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