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General NPI Number Information
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NPI Number | 1639276090
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Entity Type | Organization
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Legal Business Name | METRO MEDIC AMBULANCE, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | AVE. FIDALGO DIAZ 4PN7 VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-768-2400
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Fax | 787-768-1120
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Provider Business Mailing Address
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Address Line | PMB47 P.O. BOX 6022
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City | CAROLINA
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State | PR
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Zip | 00984-6022
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Country | US
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Telephone | 787-768-2400
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Fax | 787-768-1120
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. RAUL COLON RODRIGUEZ
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Credential |
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Telephone | 787-768-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | TC AMB 321
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License Number State | PR
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