Nicolas Lopez Diaz

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TCAMB457 Issued in PR

Practice address

Urb. la Arboleda 349 Calle 15
Salinas, PR 00751

Phone

(787) 448-0911

Fax

(787) 824-7738

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Active Ambulance Service Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Active Ambulance Inc

  • Land Ambulance
  • Salinas, PR
  • NPI 1528192119

  Land Transport

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1104020429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE. PENSILVANNIA APARTADO # 406",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-448-0911",
            "fax_number": "787-824-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LA ARBOLEDA 349 CALLE 15",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-448-0911",
            "fax_number": "787-824-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DIAZ",
        "first_name": "NICOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PR",
            "license": "2003476",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ACTIVE",
            "last_name": "SERVICE",
            "middle_name": "AMBULANCE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Felix Jose Laracuente
• Lorna Lebron Lebron II, CLINICAL SOCIAL WORK
• Janet Leon, DMD
• Libertad Flores
• Little Star Therapy Inc
• Melanie Lopez Molina, PSY.D.
• Janice Eneida Lopez
• Luz Milena Lopez
• Lorelys Marie Lorenzi Rodriguez
• Maria Emilia Malave, M.D.

• Land Ambulance in Salinas, PR
• Providers in Salinas, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.