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NPI 1114001476

NPI 1114001476 : CANO'S AMBULANCE & TRANSPORT SERVICES ROAD INC : LAS PIEDRAS, PR

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General NPI Number Information
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    NPI Number           |    1114001476
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    Entity Type          |    Organization 
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    Legal Business Name  |    CANO'S AMBULANCE & TRANSPORT SERVICES ROAD INC 
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Dates
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    Enumeration Date     |    10/24/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    HC 23 BOX 6750 BO. COLLORES
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    City                 |    LAS PIEDRAS
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    State                |    PR
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    Zip                  |    00771
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    Country              |    US
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    Telephone            |    787-603-1719
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    CARRETERA 926 KM 1.3 BO. COLLORES 
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    City                 |    LAS PIEDRAS
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    State                |    PR
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    Zip                  |    00777
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    Country              |    US
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    Telephone            |    787-603-1719
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ERWIN  PEREZ 
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    Credential           |    
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    Telephone            |    787-603-1719
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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 351
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    License Number State |    PR
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