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General NPI Number Information
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NPI Number | 1457409559
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Entity Type | Organization
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Legal Business Name | RAMON A. LIZARDI SANTIAGO
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | AVE. GAUTIER BENITEZ URB. VILLA DEL REY 2DA SECCION, # A-7
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-258-7799
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Fax | 787-258-7799
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Provider Business Mailing Address
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Address Line | PO BOX 7277
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City | CAGUAS
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State | PR
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Zip | 00726-7277
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Country | US
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Telephone | 787-258-7799
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Fax | 787-258-7799
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAMON A. LIZARDI SANTIAGO
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Credential |
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Telephone | 787-258-7799
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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 | TCAMB-493
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License Number State | PR
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