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General NPI Number Information
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NPI Number | 1225774235
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Entity Type | Organization
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Legal Business Name | CORDMEDIC TRANSPORTS LLC
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 02/19/2023
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Provider Practice Location Address
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Address Line | QUEBRADA ARENA CARR 1 K23H0.9 QUEBRADA ARENA CARR 1 K23 H0.9
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City | SAN JUAN
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State | PR
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Zip | 00926-9522
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Country | US
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Telephone | 787-585-8341
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Fax |
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Provider Business Mailing Address
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Address Line | BO QUEBRADA ARENA 15 CAMINO MANGUAL
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City | SAN JUAN
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State | PR
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Zip | 00926-9522
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Country | US
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Telephone | 787-585-8341
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | JOSUE CORDERO SR.
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Credential | CEO
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Telephone | 787-585-8341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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