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General NPI Number Information
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NPI Number | 1184784340
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Entity Type | Organization
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Legal Business Name | MUNICIPIO HUMACAO
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | CALLE SERGIO PENA ALMODOVAR FIVAL
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City | HUMACAO
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State | PR
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Zip | 00792
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Country | US
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Telephone | 787-852-0460
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Fax | 787-285-4065
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Provider Business Mailing Address
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Address Line | BOX 178
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City | HUMACAO
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State | PR
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Zip | 00792-0178
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Country | US
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Telephone | 787-852-0460
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Fax | 787-285-4065
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MR. FRANK TORRES DE LEON
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Credential |
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Telephone | 787-852-0460
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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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