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1972244507 NPI number — COLLAZO MEDICAL SERVICE CORP

NPI Number: 1972244507
Health Care Provider/Practitioner: COLLAZO MEDICAL SERVICE CORP

Information about “1972244507” NPI (COLLAZO MEDICAL SERVICE CORP) exists in 1972244507 in HTML format HTML  |  1972244507 in plain Text format TXT  |  1972244507 in PDF (Portable Document Format) PDF  |  1972244507 in an XML format XML  formats.

NPI Number : 1972244507 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972244507",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COLLAZO MEDICAL SERVICE CORP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "URB. STARLIGHT",
    "SecondLineMailingAddress": "CALLE PERSEO 3113",
    "MailingAddressCityName": "PONCE",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00717",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "939-438-7943",
    "MailingAddressFaxNumber": "787-842-4328",
    "FirstLinePracticeLocationAddress": "URB. STARLIGHT",
    "SecondLinePracticeLocationAddress": "CALLE PERSEO 3113",
    "PracticeLocationAddressCityName": "PONCE",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00717",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "939-438-7943",
    "PracticeLocationAddressFaxNumber": "787-842-4328",
    "EnumerationDate": "04/06/2022",
    "LastUpdateDate": "09/06/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COLLAZO LUGO",
    "AuthorizedOfficialFirstName": "RAMSY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT / EMT-P",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "939-452-4908",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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