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General NPI Number Information
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NPI Number | 1972426518
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Entity Type | Organization
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Legal Business Name | RIVERA ORTIZ SURGERY LLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 1451 AVE ASHFORD
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City | SAN JUAN
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State | PR
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Zip | 00907-1511
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Country | US
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Telephone | 787-722-6544
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 AVE PONCE DE LEON STE 401 PMB 059
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City | SAN JUAN
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State | PR
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Zip | 00907-4023
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Country | US
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Telephone | 787-224-1909
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELAINE RIVERA ORTIZ
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Credential | MD
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Telephone | 787-224-1909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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