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NPI 1134373509

NPI 1134373509 : MR. GILBERTO MARRERO : MOROVIS, PR

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General NPI Number Information
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    NPI Number           |    1134373509
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    Entity Type          |    Individual 
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    Provider Name        |    MR. GILBERTO MARRERO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/11/2008
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    Last Update Date     |    11/11/2008
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Provider Practice Location Address
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    Address Line         |    CARR 617 KM 1.8 BO. MOROVIS SUR
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    City                 |    MOROVIS
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    State                |    PR
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    Zip                  |    00687
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    Country              |    US
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    Telephone            |    787-528-4802
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1892 
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    City                 |    OROCOVIS
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    State                |    PR
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    Zip                  |    00720-1892
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    Country              |    US
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    Telephone            |    787-528-4802
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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 AMB267
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    License Number State |    PR
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