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General NPI Number Information
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NPI Number | 1033949482
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Entity Type | Organization
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Legal Business Name | SAZON CARIBENO EXPRESS INC
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Dates
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Enumeration Date | 08/01/2024
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 7415 NW 54TH ST
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City | MIAMI
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State | FL
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Zip | 33166-4810
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Country | US
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Telephone | 786-295-8540
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 W 46TH ST APT 232
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City | HIALEAH
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State | FL
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Zip | 33012-3264
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Country | US
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Telephone | 786-295-8540
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RUBEN DE LA RUA
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Credential |
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Telephone | 786-295-8540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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