Organization Active NPI

Javier Muniz

  • Land Ambulance
  • Ponce, PR
National Provider Identifier
1083931604
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2670CP Issued in PR
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

Updated by the provider on Apr 21, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100922000868 PR Part B Supplier - Ambulance Service Supplier 1951427335 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.