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General NPI Number Information
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NPI Number | 1982107918
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Entity Type | Organization
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Legal Business Name | PRIME HEALTH CARE INC
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Dates
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Enumeration Date | 03/15/2018
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Last Update Date | 05/03/2020
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Provider Practice Location Address
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Address Line | 44 CALLE 65 INFANTERIA
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 939-339-5612
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2111
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City | ANASCO
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State | PR
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Zip | 00610-2111
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Country | US
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Telephone | 787-238-2648
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADOR
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Name | MR. MARIO A RAMOS
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Credential |
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Telephone | 939-339-5612
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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 | 5743CP
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 5744CP
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TCAMB754
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License Number State | PR
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