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General NPI Number Information
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NPI Number | 1972244507
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Entity Type | Organization
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Legal Business Name | COLLAZO MEDICAL SERVICE CORP
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | URB. STARLIGHT CALLE PERSEO 3113
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 939-438-7943
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Fax | 787-842-4328
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Provider Business Mailing Address
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Address Line | URB. STARLIGHT CALLE PERSEO 3113
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 939-438-7943
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Fax | 787-842-4328
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Authorized Official
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Title or Position | PRESIDENT / EMT-P
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Name | RAMSY COLLAZO LUGO
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Credential |
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Telephone | 939-452-4908
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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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