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General NPI Number Information
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NPI Number | 1932343449
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Entity Type | Individual
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Provider Name | PEDRO NEVAREZ
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Gender | Male
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | BO PALMAREJO CARR 164 KM 14.6 INT SECTOR LOS LLANOS
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City | COROZAL
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State | PR
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Zip | 00783
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Country | US
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Telephone | 787-451-2727
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6942
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City | BAYAMON
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State | PR
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Zip | 00960-5942
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Country | US
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Telephone | 787-642-6272
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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-AMB575
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License Number State | PR
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