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NPI 1912956608

NPI 1912956608 : RAMOS LOPEZ AMBULANCE SERVICES INC : UTUADO, PR

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General NPI Number Information
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    NPI Number           |    1912956608
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAMOS LOPEZ AMBULANCE SERVICES INC 
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Dates
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    Enumeration Date     |    05/09/2006
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    Last Update Date     |    02/01/2010
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Provider Practice Location Address
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    Address Line         |    CALLE FERNANDO LUIS GARCIA 316 
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    City                 |    UTUADO
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    State                |    PR
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    Zip                  |    00641
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    Country              |    US
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    Telephone            |    787-814-2802
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 248 
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    City                 |    LARES
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    State                |    PR
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    Zip                  |    00669-0248
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    Country              |    US
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    Telephone            |    787-814-2802
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     LUIS A RAMOS - VERA 
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    Credential           |    
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    Telephone            |    787-814-2802
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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       |    TC AMB 262
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    License Number State |    PR
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