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General NPI Number Information
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NPI Number | 1346674447
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Entity Type | Organization
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Legal Business Name | CRESPO AMBULANCE CORP
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | F18 CALLE LOS ALAMOS
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City | MAYAGUEZ
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State | PR
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Zip | 00682-6910
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Country | US
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Telephone | 787-315-6056
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Fax |
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Provider Business Mailing Address
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Address Line | #F18, CALLE ALAMOS, JARDINES DEL CARIBE
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City | MAYAGUEZ
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State | PR
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Zip | 00682-6910
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Country | US
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Telephone | 787-315-6056
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | NESTOR CRESPO RAMOS
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Credential |
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Telephone | 787-315-6056
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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 |
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License Number State | PR
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