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Individual

EDGARDO J JIRAU SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
CARR 111 INT 602 KM 0.1, ANGELES, PR 00611-0000
(787) 933-6781
(787) 933-6781
Mailing address
PO BOX 99, ANGELES, PR 00611-0099
(787) 933-6781
(787) 933-6781

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
TC AMB 559
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TC AMB 559
LIC COMICION
PR
Enumeration date
02/12/2009
Last updated
04/28/2009
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