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General NPI Number Information
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NPI Number | 1356398374
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Entity Type | Organization
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Legal Business Name | V.I.P. AMBULANCE CORPORATION
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 180 CALLE JOSE F DIAZ APTO 1502 COND MONTE BRISAS
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City | SAN JUAN
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State | PR
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Zip | 00926-5972
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Country | US
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Telephone | 787-708-4558
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Fax | 787-731-2711
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Provider Business Mailing Address
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Address Line | PO BOX 29004
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City | SAN JUAN
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State | PR
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Zip | 00929-0004
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Country | US
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Telephone | 787-708-4558
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Fax | 787-790-9212
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Authorized Official
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Title or Position | PRESIDENTE
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Name | WANDA SANTIAGO
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Credential |
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Telephone | 787-708-4558
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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 | TCAMB313
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License Number State | PR
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