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General NPI Number Information
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NPI Number | 1427862630
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Entity Type | Organization
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Legal Business Name | AM ACQUISITION I LLC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 70 CALLE SANTA CRUZ
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City | BAYAMON
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State | PR
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Zip | 00961-7052
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Country | US
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Telephone | 787-620-4762
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Fax | 787-771-7402
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Provider Business Mailing Address
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Address Line | PO BOX 191227
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City | SAN JUAN
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State | PR
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Zip | 00919-1227
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Country | US
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Telephone | 787-758-2000
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CARLOS I RODRIGUEZ
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Credential |
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Telephone | 787-758-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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