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General NPI Number Information
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NPI Number | 1902946510
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Entity Type | Organization
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Legal Business Name | CMG AMBULANCE SERVICES, INC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 140 CALLE LUIS MUNOZ RIVERA
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City | GUAYANILLA
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State | PR
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Zip | 00656-1828
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Country | US
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Telephone | 787-449-8566
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Fax | 787-835-0261
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Provider Business Mailing Address
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Address Line | 5 CALLE CONCEPCION
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City | GUAYANILLA
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State | PR
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Zip | 00656-1712
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Country | US
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Telephone | 787-449-8566
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Fax | 787-835-0261
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALFONSO GONZALEZ
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Credential | M.D.
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Telephone | 787-449-8566
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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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