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General NPI Number Information
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NPI Number | 1629010905
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Entity Type | Organization
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Legal Business Name | MEDICO UNO CORP
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 SO #1400 URB LA RIVIERA
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City | RIO PIEDRAS
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-636-7515
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Fax | 787-273-1436
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Provider Business Mailing Address
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Address Line | 50 SO #1400 URB LA RIVIERA
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City | RIO PIEDRAS
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-636-7515
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Fax | 787-273-1436
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. IRENE PEREZ
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Credential | EMT P
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Telephone | 787-636-7515
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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 | 139
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License Number State | PR
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