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NPI 1245943984

NPI 1245943984 : TRAUMA CARE UNIT AMBULANCE SERVICE INC. : NARANJITO, PR

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General NPI Number Information
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    NPI Number           |    1245943984
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRAUMA CARE UNIT AMBULANCE SERVICE INC. 
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Dates
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    Enumeration Date     |    12/27/2022
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    Last Update Date     |    12/27/2022
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Provider Practice Location Address
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    Address Line         |    CARRETERA PR 152 KM 18.2 
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    City                 |    NARANJITO
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    State                |    PR
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    Zip                  |    00719
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    Country              |    US
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    Telephone            |    787-275-7213
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    HC 73 BOX 4774 
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    City                 |    NARANJITO
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    State                |    PR
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    Zip                  |    00719
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    Country              |    US
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    Telephone            |    787-275-7213
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    Fax                  |    
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Authorized Official
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    Title or Position    |    GERENTE
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    Name                 |     JORGE OSCAR NIEVES ORTEGA 
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    Credential           |    
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    Telephone            |    939-275-7213
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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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