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General NPI Number Information
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NPI Number | 1992797377
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Entity Type | Individual
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Provider Name | ROBERTO RIVERA-MORALES MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2840 PADDOCK RD WINDMILL RANCH ESTATES
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City | WESTON
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State | FL
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Zip | 33331-3015
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Country | US
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Telephone | 954-389-1254
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Fax | 954-389-4844
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Provider Business Mailing Address
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Address Line | 2840 PADDOCK RD WINDMILL RANCH ESTATES
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City | WESTON
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State | FL
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Zip | 33331-3015
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Country | US
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Telephone | 954-389-1254
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Fax | 954-389-4844
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036108313
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME0035925
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License Number State | FL
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