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General NPI Number Information
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NPI Number | 1255478319
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Entity Type | Organization
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Legal Business Name | PRIMEROS AUXILIOS, INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | CARR. 1 RD 842 KM 1.4 CAIMITO BAJO, RIO PIEDRAS
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City | SAN JUAN
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State | PR
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Zip | 00926-0001
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Country | US
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Telephone | 787-272-1199
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Fax | 787-272-1190
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Provider Business Mailing Address
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Address Line | PMB 237-220 SUITE 101 WESTERN AUTO PLAZA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-0001
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Country | US
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Telephone | 787-272-1199
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Fax | 787-272-1190
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA SANTIAGO
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Credential |
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Telephone | 787-272-1199
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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 | TCAMB-439
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License Number State | PR
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