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General NPI Number Information
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NPI Number | 1891916052
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Entity Type | Organization
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Legal Business Name | RAFAEL PEREZ MOLINA
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | CARR NUM 2 KM 84.7 BO CARRIZALES URB ALTURAS CALLE JARDIN SUITE 3
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City | HATILLO
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State | PR
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Zip | 00659-0000
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Country | US
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Telephone | 787-820-7500
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Fax | 787-820-7500
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Provider Business Mailing Address
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Address Line | PO BOX 951
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City | HATILLO
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State | PR
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Zip | 00659-0951
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Country | US
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Telephone | 787-820-7500
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Fax | 787-820-7500
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Authorized Official
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Title or Position | OWNER
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Name | RAFAEL PEREZ MOLINA
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Credential |
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Telephone | 787-820-7500
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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 | TCAMB 406
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License Number State | PR
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