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NPI 1427264860

NPI 1427264860 : ALBERTO MARRERO CASANOVA 1112P : GUAYNABO, PR

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General NPI Number Information
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    NPI Number           |    1427264860
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    Entity Type          |    Individual 
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    Provider Name        |    ALBERTO MARRERO CASANOVA 1112P
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/15/2007
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    Last Update Date     |    12/14/2025
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Provider Practice Location Address
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    Address Line         |    90 CALLE SAN MARTIN 
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    City                 |    GUAYNABO
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    State                |    PR
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    Zip                  |    00968-1400
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    Country              |    US
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    Telephone            |    787-754-2550
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    Fax                  |    787-781-2063
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2161 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00922-2161
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    Country              |    US
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    Telephone            |    787-754-2550
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    Fax                  |    787-781-2063
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    1112P
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    License Number State |    PR
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