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General NPI Number Information
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NPI Number | 1720037757
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Entity Type | Organization
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Legal Business Name | DOCTORS AMBULANCE INC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARRETERA 31 KM 28.5
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City | JUNCOS
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State | PR
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Zip | 00777
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Country | US
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Telephone | 787-210-1439
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Fax | 787-736-6853
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Provider Business Mailing Address
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Address Line | URB MIRADERO 12 CALLE CAMINO DEL MIRADERO
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-210-1439
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Fax | 787-736-6853
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Authorized Official
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Title or Position | PRESIDENT
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Name | GIOVAN HERNANDEZ
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Credential |
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Telephone | 787-210-1439
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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 324
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License Number State | PR
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