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NPI 1821993031

NPI 1821993031 : AMV MEDICAL SERVICES LLC : HUMACAO, PR

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General NPI Number Information
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    NPI Number           |    1821993031
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMV MEDICAL SERVICES LLC 
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Dates
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    Enumeration Date     |    10/09/2026
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    Last Update Date     |    10/09/2026
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Provider Practice Location Address
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    Address Line         |    9 CALLE RAFAEL ARROYO RIOS S 
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    City                 |    HUMACAO
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    State                |    PR
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    Zip                  |    00791-3932
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    Country              |    US
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    Telephone            |    787-518-0104
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    134 FRINGE DR 
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    City                 |    HUMACAO
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    State                |    PR
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    Zip                  |    00791-6026
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    Country              |    US
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    Telephone            |    787-361-7101
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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. VICENTE V NAZARIO LARACUENTE 
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    Credential           |    MD
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    Telephone            |    787-361-7101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    NULL
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