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General NPI Number Information
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NPI Number | 1700250214
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Entity Type | Individual
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Provider Name | CARLOS CINTRON VEGA RN, EMT-P
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Gender | Male
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | LAJAS ROAD #633
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City | ENSENADA
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State | PR - PUERTO RICO
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Zip | 00647
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Country | UM
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Telephone | 787-376-0545
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 241
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City | ENSENADA
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State | PR - PUERTO RICO
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Zip | 00647
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Country | UM
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Telephone | 787-376-0545
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 1013-P
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 76929-G
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License Number State | PR
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