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Organization
AIR MEDICAL SERVICES
Active
Organization
AIR MEDICAL SERVICES
Active
Other names
Nuclear Medicine and Diagnostic Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN FONTANEZ M.D. (DIRECTOR/NUCLEAR MEDICINE PHYSICIAN)
(787) 407-2799
Entity
Organization
Contact information
Practice address
HC 83 BOX 6954, VEGA ALTA, PR 00692-9201
(787) 407-2799
Mailing address
HC 83 BOX 6954, VEGA ALTA, PR 00692-9201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
251J00000X
Nursing Care Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
341600000X
Ambulance
—
NULL
3416A0800X
Air Ambulance
—
NULL
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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