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NPI 1992617245

NPI 1992617245 : GABRIELA ALEXANDRA RIVERA RIVERA : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1992617245
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    Entity Type          |    Individual 
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    Provider Name        |    GABRIELA ALEXANDRA RIVERA RIVERA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/21/2026
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    Last Update Date     |    09/21/2026
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Provider Practice Location Address
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    Address Line         |    10 CALLE CASIA 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00921-3201
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    Country              |    US
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    Telephone            |    787-641-7582
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    E7 CALLE 8 JARDINES DE CAYEY I
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    City                 |    CAYEY
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    State                |    PR
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    Zip                  |    00736-4042
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    Country              |    US
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    Telephone            |    915-342-7950
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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       |    45024879A
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    License Number State |    IN
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