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General NPI Number Information
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NPI Number | 1699006734
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Entity Type | Organization
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Legal Business Name | TRANSPORTE MEDICO JARETH CORP
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | BO. PUEBLO CARR.111 INT.470
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City | LARES
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State | PR
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Zip | 00669
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Country | US
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Telephone | 787-317-9825
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2830
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-6830
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Country | US
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Telephone | 787-317-9825
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ELIAZAR RODRIGUEZ
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Credential |
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Telephone | 787-317-9825
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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 S10-86
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License Number State | PR
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