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General NPI Number Information
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NPI Number | 1902925969
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Entity Type | Organization
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Legal Business Name | GUADAMED AMBULANCE, INC.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | HC 2 BOX 12142
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City | GURABO
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State | PR
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Zip | 00778-9613
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Country | US
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Telephone | 787-949-3177
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Fax | 787-737-7603
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Provider Business Mailing Address
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Address Line | HC 2 BOX 12142
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City | GURABO
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State | PR
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Zip | 00778-9613
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Country | US
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Telephone | 787-949-3177
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Fax | 787-737-7603
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Authorized Official
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Title or Position | ADMINISTRADORA
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Name | MRS. REBECA I VEGA DIAZ
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Credential |
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Telephone | 787-949-3177
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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 | 4126280
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License Number State | PR
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