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General NPI Number Information
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NPI Number | 1972772887
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Entity Type | Individual
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Provider Name | CRISTIAN S. COLON-RIVERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 3 CALLE CATALINO VELAZQUEZ
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City | MOCA
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State | PR
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Zip | 00676-5022
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Country | US
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Telephone | 787-560-3423
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Fax | 787-877-9680
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Provider Business Mailing Address
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Address Line | 1854 AVE MCLEARY APT B5
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City | SAN JUAN
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State | PR
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Zip | 00911
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Country | US
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Telephone | 787-560-3423
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Fax | 787-877-9680
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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 | 17018
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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 | 17018
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License Number State | PR
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