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General NPI Number Information
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NPI Number | 1013231653
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Entity Type | Organization
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Legal Business Name | CRESPO MEDICAL CARE INC.
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | STREET 119 KM 10.9 BO. CAMUY ARRIBA
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-597-1779
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Fax | 787-898-3809
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Provider Business Mailing Address
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Address Line | HC 6 BOX 65403
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City | CAMUY
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State | PR
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Zip | 00627-8867
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Country | US
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Telephone | 787-597-1779
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Fax | 787-898-3809
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. LUIS GABRIEL CRESPO
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Credential |
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Telephone | 787-597-1779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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