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General NPI Number Information
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NPI Number | 1891852315
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Entity Type | Organization
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Legal Business Name | JIMERGENCY MEDICAL TRANSPORT INC.
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | CARR 924 KM 3.3 BO COLLORES NUMERO 7
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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 | 787-955-3360
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2017 PMB 574
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-955-3360
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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. CARLOS ANTONIO ASTACIO CASTRO
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Credential |
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Telephone | 787-955-3360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 2538284
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License Number State | PR
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