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General NPI Number Information
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NPI Number | 1659297869
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Entity Type | Organization
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Legal Business Name | PRESTIGE AMBULANCE EMERGENCY CARE LLC.
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | CARR 110 KM 7 HECTOMETRO 7 INT, BO CERRO GORDO
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 939-252-2081
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Fax |
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Provider Business Mailing Address
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Address Line | PARCELAS LOMAS VERDES, CALLE ESTERLINA 642
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City | MOCA
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State | PR
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Zip | 00676
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Country | US
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Telephone | 939-252-2081
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE MANAGER
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Name | JINELYS HERNANDEZ GARCIA
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Credential |
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Telephone | 939-252-2081
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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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