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General NPI Number Information
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NPI Number | 1225369374
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Entity Type | Organization
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Legal Business Name | MILCIADES ROMERO
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | STREET 13 CORNER AVE. D #2068
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 787-525-7496
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8698
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City | SAN JUAN
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State | PR
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Zip | 00910-0698
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Country | US
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Telephone | 787-525-7496
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MS. MARY ELAINE ROMERO
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Credential |
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Telephone | 787-513-6775
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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 | TC AMB 588
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License Number State | PR
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