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NPI 1649158783

NPI 1649158783 : POETAS MEDICAL SERVICE LLC : JUANA DIAZ, PR

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General NPI Number Information
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    NPI Number           |    1649158783
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    Entity Type          |    Organization 
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    Legal Business Name  |    POETAS MEDICAL SERVICE LLC 
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Dates
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    Enumeration Date     |    08/26/2025
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    Last Update Date     |    08/26/2025
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Provider Practice Location Address
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    Address Line         |    URB ORTA CALLE 14 #5 LOCAL D 
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    City                 |    JUANA DIAZ
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    State                |    PR
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    Zip                  |    00795
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    Country              |    US
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    Telephone            |    939-333-1061
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1690 
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    City                 |    JUANA DIAZ
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    State                |    PR
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    Zip                  |    00795-4690
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    Country              |    US
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    Telephone            |    787-333-1061
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENTE
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    Name                 |     HECTOR  TORRES 
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    Credential           |    
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    Telephone            |    939-333-1061
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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       |    
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    License Number State |    
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