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NPI 1801256425

NPI 1801256425 : EMERGENCY CARE UNIT CORP. : LUQUILLO, PR

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General NPI Number Information
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    NPI Number           |    1801256425
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMERGENCY CARE UNIT CORP. 
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Dates
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    Enumeration Date     |    02/24/2016
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    Last Update Date     |    01/24/2017
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Provider Practice Location Address
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    Address Line         |    316 CALLE FERNANDEZ GARCIA 
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    City                 |    LUQUILLO
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    State                |    PR
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    Zip                  |    00773-2233
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    Country              |    US
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    Telephone            |    787-501-1234
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5K54 CALLE 5-12 URB MONTE BRISAS 5
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    City                 |    FAJARDO
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    State                |    PR
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    Zip                  |    00738-3975
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    Country              |    US
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    Telephone            |    787-501-1234
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ORLANDO L RIVERA SUAZO 
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    Credential           |    
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    Telephone            |    787-501-1234
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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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