Individual provider Active NPI

Benjamin Aviles Melendez

  • Land Ambulance
  • Morovis, PR
National Provider Identifier
1154594810
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC-AMB 512 Issued in PR
Practice address
Carr 6622 KM .7
Sector la Linea
Morovis, PR 00687
Phone
(787) 369-5572
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

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

LicenseStateTypeSpecialty
TC-AMB 512PRMDLand Ambulance

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Aviles Melendez Land Transport Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC-AMB 512 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Carr 6622 KM .7
Sector la Linea
Morovis, PR 00687

Mailing address

HC 2 Box 6532
Morovis, PR 00687-9736
Phone (787) 369-5572

Other names 1

NPPES NPI Registry
  • B a Medical Transport Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2008.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1154594810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 6532",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006879736",
            "telephone_number": "787-369-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 6622 KM .7",
            "address_2": "SECTOR LA LINEA",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-369-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES MELENDEZ",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC-AMB 512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B A MEDICAL",
            "last_name": "TRANSPORT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.