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General NPI Number Information
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NPI Number | 1548279490
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Entity Type | Organization
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Legal Business Name | ATLANTIC MED-CARE INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | FOREST HILLS CALLE 21 A19
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City | BAYAMON
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State | PR
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Zip | 00959-5552
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Country | US
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Telephone | 787-798-3507
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Fax | 787-798-3507
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Provider Business Mailing Address
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Address Line | PO BOX 51346
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City | TOA BAJA
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State | PR
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Zip | 00950-1346
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Country | US
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Telephone | 787-798-3507
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Fax | 787-798-3507
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDUARDO JIMENEZ
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Credential |
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Telephone | 787-798-3507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 56.05.06
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 05-P-2113
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | ABC CERTIFIED FITTER
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4667460001
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License Number State | PR
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