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General NPI Number Information
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NPI Number | 1912057126
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Entity Type | Organization
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Legal Business Name | MUNICIPALITY OF SAN GERMAN
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 153 CALLE GOLONDRINA URB. SANTA MARIA
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City | SAN GERMAN
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State | PR
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Zip | 00683-4701
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Country | US
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Telephone | 787-892-5620
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Fax | 787-892-5710
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Provider Business Mailing Address
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Address Line | INTERAMERICAN UNIVERSITY AVE # 136
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 787-892-3500
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Fax | 787-892-1060
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | ELI E ORTIZ
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Credential |
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Telephone | 787-892-3500
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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 | TC AMB 441
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License Number State | PR
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