Active NPI
Mirella De Jesus Gonzalez
- Land Ambulance
- Jayuya, PR
National Provider Identifier
1043349509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Practice address
- Carretera 144 KM 2.8
Jayuya, PR 00664 - Phone
- (787) 828-0613
- Fax
- (787) 828-0613
- NPI assigned
- Mar 2, 2007
- Last updated
- Jul 8, 2007
- 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 | NU | Primary |
Addresses
Primary practice location
Carretera 144 KM 2.8
Jayuya, PR 00664
Mailing address
PO Box 819
Jayuya, PR 00664-0819
Phone (787) 828-0613
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043349509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 819",
"city": "JAYUYA",
"state": "PR",
"postal_code": "006640819",
"telephone_number": "787-828-0613",
"fax_number": "787-828-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 144 KM 2.8",
"city": "JAYUYA",
"state": "PR",
"postal_code": "00664",
"telephone_number": "787-828-0613",
"fax_number": "787-828-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS GONZALEZ",
"first_name": "MIRELLA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jayuya, PR
- Maria A Colon Ojeda
- Community Medical Care LLC
- Fernando Costas
- Elena Cuevas-Montero, LICENCIADA
- De Jesus Ambulance Services
- Educa Group
- Em Mario Canales Torresola
- Em Mario Canales Torresola (Servicios Radiologicos)
- Empresa Municipal Salud Integral de la Tierra Alta
- Empresa Municipal Salud Integral de la Tierra Alta
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.