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General NPI Number Information
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NPI Number | 1205771995
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Entity Type | Organization
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Legal Business Name | MED SQUAD TRANSPORT LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | PARCELAS BELTRAN #52 PUERTO REAL
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City | FAJARDO
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State | PR
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Zip | 00740
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Country | US
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Telephone | 787-401-3001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4309
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City | PUERTO REAL
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State | PR
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Zip | 00740-4309
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Country | US
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Telephone | 787-401-3001
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LYMARIE RIBOT VIDAL
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Credential |
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Telephone | 787-593-6000
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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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