Active NPI
Raul Medina
- Land Ambulance
- Luquillo, PR
National Provider Identifier
1043464993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC AMB 307
- Practice address
- Calle Principal J23 Vistas de Luquillo
Luquillo, PR 00773 - Phone
- (787) 889-0039
- NPI assigned
- Nov 5, 2008
- Sex
- Male
- 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 | TC AMB 307 | PR | Primary |
Addresses
Primary practice location
Calle Principal J23 Vistas de Luquillo
Luquillo, PR 00773
Mailing address
PMB 192 Box 70011
Fajardo, PR 00738
Phone (787) 889-0039
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC AMB 307 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medina Medical Transport Corporation | Land Transport | Current | Accepting new patients |
| Medina Medical Transport EMS Corp. | Land Transport | Current | Accepting new patients |
Organizations & group practices 2
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": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1043464993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 192 BOX 70011",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-889-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE PRINCIPAL J23 VISTAS DE LUQUILLO",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "00773",
"telephone_number": "787-889-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "RAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC AMB 307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luquillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.