Active NPI
Yanitza Jimenez
- Land Ambulance
- Moca, PR
National Provider Identifier
1013740174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Practice address
- Carr 111 KM 6.4 Bo Pueblo
Moca, PR 00676 - Phone
- (787) 233-9648
- NPI assigned
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | PR | Primary |
Addresses
Primary practice location
Carr 111 KM 6.4 Bo Pueblo
Moca, PR 00676
Mailing address
PO Box 851
Moca, PR 00676-0851
Phone (787) 233-9648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tactical Medic Respond Inc | Land Transport | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1013740174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 851",
"city": "MOCA",
"state": "PR",
"postal_code": "006760851",
"telephone_number": "787-233-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 111 KM 6.4 BO PUEBLO",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-233-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "YANITZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.