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General NPI Number Information
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NPI Number | 1962153130
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Entity Type | Organization
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Legal Business Name | CASTRO MEDICAL RESPONDE INC
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | CARR #2 KM 20.3 BO. CANDELARIA LOTE 5
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-414-1320
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Fax |
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Provider Business Mailing Address
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Address Line | URB HACIENDA MI QUERIDO VIEJO CALLE FLAMBOYAN 131
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-414-1320
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILBUR OMAR CASTRO
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Credential |
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Telephone | 787-414-1320
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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 |
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License Number State |
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