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General NPI Number Information
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NPI Number | 1972661809
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Entity Type | Individual
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Provider Name | OSANA CHACON RIOS M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 500 AVE. MUNOZ RIVERA OFIC. 33-C CONDOMINIO EL CENTRO 2
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City | HATO REY
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State | PR
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Zip | 00918-3303
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Country | US
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Telephone | 787-402-2485
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Fax | 787-765-6185
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Provider Business Mailing Address
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Address Line | 335 CALLE REY FRANCISCO LA VILLA DE TORRIMAR
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City | GUAYNABO
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State | PR
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Zip | 00969-3254
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Country | US
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Telephone | 787-402-2485
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Fax | 787-765-6185
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10616
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License Number State | PR
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