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General NPI Number Information
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NPI Number | 1942912159
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Entity Type | Organization
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Legal Business Name | JLIFE MED TRANSPORT, LLC.
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | SR 176 KM 10.0 CUPEY ALTO COM EL MUDO SECTOR ZENON VIERA
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 939-320-9490
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Fax | 787-936-7428
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Provider Business Mailing Address
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Address Line | PO BOX 193596
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City | SAN JUAN
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State | PR
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Zip | 00919-3596
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Country | US
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Telephone | 939-320-9490
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE L RIVERA
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Credential |
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Telephone | 939-320-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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