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General NPI Number Information
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NPI Number | 1124289244
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Entity Type | Organization
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Legal Business Name | COQUI AMBULANCE SERVICES, INC
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 39 CALLE FRATERNIDAD VILLA ESPERANZA
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City | CAGUAS
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State | PR
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Zip | 00727-7006
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Country | US
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Telephone | 787-746-1191
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 734
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City | NAGUABO
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State | PR
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Zip | 00718-0734
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Country | US
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Telephone | 787-746-1191
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YAMILET STEIDEL
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Credential |
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Telephone | 787-746-1191
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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 | PR
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