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General NPI Number Information
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NPI Number | 1366410391
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Entity Type | Organization
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Legal Business Name | CORREA AMBULANCE SERVICE INC.
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | STREET-1 #35 PARCELAS CELADA
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City | GURABO
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State | PR
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Zip | 00778-9707
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Country | US
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Telephone | 787-737-2484
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Fax | 787-737-5556
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Provider Business Mailing Address
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Address Line | HC 3 BOX 4295
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City | GURABO
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State | PR
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Zip | 00778-9707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. MIGUEL A. CORREA
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Credential | ETC.
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Telephone | 787-737-2484
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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 | PR
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