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General NPI Number Information
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NPI Number | 1033129432
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Entity Type | Organization
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Legal Business Name | FASIMA CORP.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 63 CALLE MUNOZ RIVERA
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City | CABO ROJO
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State | PR
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Zip | 00623-4039
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Country | US
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Telephone | 787-255-4315
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Fax | 787-851-0013
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Provider Business Mailing Address
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Address Line | 63 CALLE MUNOZ RIVERA
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City | CABO ROJO
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State | PR
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Zip | 00623-4039
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Country | US
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Telephone | 787-255-4315
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Fax | 787-851-0013
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JULIO I. SILVA
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Credential | M.D.
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Telephone | 787-255-4315
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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 | TC-AMB-389
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License Number State | PR
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