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General NPI Number Information
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NPI Number | 1093762650
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Entity Type | Organization
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Legal Business Name | MUNICIPALITY OF SAN JUAN PR
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | COND DE DIEGO
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City | SAN JUAN
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State | PR
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Zip | 00923-3001
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Country | US
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Telephone | 787-765-4881
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Fax | 787-753-9109
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Provider Business Mailing Address
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Address Line | PO BOX 70179
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City | SAN JUAN
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State | PR
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Zip | 00936-8179
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Country | US
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Telephone | 787-765-4881
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Fax | 787-753-9109
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Authorized Official
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Title or Position | DIRECTOR EJECUTIVO
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Name | CARLOS A ACEVEDO
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Credential |
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Telephone | 787-765-4881
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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 | TCAMB240
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License Number State | PR
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