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General NPI Number Information
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NPI Number | 1124146006
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Entity Type | Organization
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Legal Business Name | LUIS F. MORALES VAZQUEZ
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Dates
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Enumeration Date | 03/27/2007
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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 BALDORIOTY
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City | SANTA ISABEL
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State | PR
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Zip | 00757-2615
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Country | US
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Telephone | 787-845-2290
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1900
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City | OROCOVIS
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State | PR
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Zip | 00720-1900
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Country | US
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Telephone | 787-299-3710
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUIS F MORALES
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Credential |
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Telephone | 787-299-3710
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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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