Active NPI
Javier Muniz
- Land Ambulance
- Ponce, PR
National Provider Identifier
1083931604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2670CP
- Legal business name
- JAVIER MUNIZ
- Practice address
- Ee15 Calle N13
Glenview Gardens
Ponce, PR 00730-1713 - Phone
- (787) 709-0340
- NPI assigned
- Apr 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Javier Muniz
- Title
- Dueno
- Phone
- (787) 709-0340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2670CP | PR | Primary |
Addresses
Primary practice location
Ee15 Calle N13
Glenview Gardens
Ponce, PR 00730-1713
Mailing address
Ee15 Calle N13
Glenview Gardens
Ponce, PR 00730-1713
Phone (787) 709-0340
Other names 1
- Star Line
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100922000868 | PR | Part B Supplier - Ambulance Service Supplier | 1951427335 | Practice locations: Ponce, PR |
National Provider Directory
National Provider DirectoryLocations
9105 Calle Marina
Ponce, PR 00717
Phone (787) 237-6448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1083931604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EE15 CALLE N13",
"address_2": "GLENVIEW GARDENS",
"city": "PONCE",
"state": "PR",
"postal_code": "007301713",
"telephone_number": "787-709-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EE15 CALLE N13",
"address_2": "GLENVIEW GARDENS",
"city": "PONCE",
"state": "PR",
"postal_code": "007301713",
"telephone_number": "787-709-0340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAVIER MUNIZ",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "MUNIZ",
"authorized_official_first_name": "JAVIER",
"authorized_official_title_or_position": "DUENO",
"authorized_official_telephone_number": "787-709-0340",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "2670CP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Star Line",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.