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General NPI Number Information
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NPI Number | 1942219415
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Entity Type | Organization
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Legal Business Name | CARIBE MEDICAL SUPPLY, INC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 1351 CALLE ANTONIO ARROYO ESQUINA PAZ GRANELA
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City | SAN JUAN
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State | PR
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Zip | 00921-4223
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Country | US
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Telephone | 787-783-0815
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Fax | 787-783-0840
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Provider Business Mailing Address
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Address Line | URB CAMBRIDGE PARK A5 AVE. CHESNUT HILL
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City | SAN JUAN
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State | PR
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Zip | 00921-0001
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Country | US
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Telephone | 787-783-0815
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Fax | 787-783-0840
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Authorized Official
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Title or Position | GERENTE GENERAL
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Name | MRS. BENJAMIN BISONO RODRIGUEZ
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Credential |
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Telephone | 787-783-0815
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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 330
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License Number State | PR
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