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General NPI Number Information
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NPI Number | 1750339107
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL MEDICAL TRANSPORT, CORP
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 4309 CARR 2 ALGARROBO
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City | VEGA BAJA
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State | PR
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Zip | 00693-4141
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Country | US
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Telephone | 787-855-1573
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Fax |
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Provider Business Mailing Address
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Address Line | 4309 CARR 2 ALGARROBO
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City | VEGA BAJA
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State | PR
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Zip | 00693-4141
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Country | US
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Telephone | 787-855-1573
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. ANGEL MANUEL VELEZ II
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Credential |
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Telephone | 787-858-7581
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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-268
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License Number State | PR
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