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General NPI Number Information
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NPI Number | 1629475108
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Entity Type | Organization
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Legal Business Name | TROPICAL AMBULANCE INC
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 11/26/2014
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Provider Practice Location Address
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Address Line | 125 KM 5.8 BO. VOLADORAS
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City | MOCA
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State | PR
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Zip | 00676-0196
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Country | US
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Telephone | 787-381-0515
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Fax | 787-877-6274
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Provider Business Mailing Address
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Address Line | CARR 125 KM 5.8 BO VOLADORAS P O BOX 196
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City | MOCA
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State | PR
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Zip | 00676-0196
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Country | US
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Telephone | 787-381-0515
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Fax | 787-877-6274
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Authorized Official
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Title or Position | CEO
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Name | MR. OMAR JAVIER AVILES
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Credential | EMT-P
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Telephone | 787-381-0515
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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 | TC-AMB 554
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License Number State | PR
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