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General NPI Number Information
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NPI Number | 1669164828
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Entity Type | Organization
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Legal Business Name | CONSULT MEDICAL PR TRAINING CENTER
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | BO TOMAS DE CASTRO CARR 183 KM 5.0
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-217-5205
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 291 PO BOX 1283
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City | SAN LORENZO
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State | PR
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Zip | 00754
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MS. KAROL J COLON
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Credential |
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Telephone | 787-217-5205
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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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