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General NPI Number Information
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NPI Number | 1972484178
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Entity Type | Individual
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Provider Name | JOSUAN RIVAS
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Gender | Male
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 656 AVE PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00918-4521
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Country | US
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Telephone | 787-998-8997
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Fax |
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Provider Business Mailing Address
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Address Line | 210 CALLE JOSE APARTAMENTO 402
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-456-0944
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 96025
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License Number State | PR
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