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General NPI Number Information
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NPI Number | 1184675894
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Entity Type | Organization
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Legal Business Name | RODMART AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | CALLE 3 SUITE 5B SIERRA BAYAMON
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City | BAYAMON
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State | PR
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Zip | 00959-5183
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Country | US
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Telephone | 787-251-4294
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Fax |
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Provider Business Mailing Address
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Address Line | 225 CALLE AQUAMARINA URB PARQUE DE ISLA VERDE
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City | CAROLINA
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State | PR
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Zip | 00979-1360
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Country | US
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Telephone | 787-251-4294
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Fax | 787-785-7773
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Authorized Official
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Title or Position | PRESIDENT
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Name | SILVIO DIEGO REYEZ SR.
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Credential |
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Telephone | 787-251-4294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 341600000X
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License Number State | PR
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