Organization Active NPI

Jensen J Feliciano-Muniz

Doing business as Feliciano Medical Transport

  • Land Ambulance
  • Moca, PR
National Provider Identifier
1154618304
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB 675 Issued in PR
Legal business name
JENSEN J FELICIANO-MUNIZ
Doing business as
Feliciano Medical Transport
Practice address
HC 1 Box 6670
Carr 110 KM 5 HM 4
Moca, PR 00676-9529
Phone
(787) 669-0374
NPI assigned
Jul 7, 2011
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Jensen J Feliciano-Muniz
Title
Owner
Phone
(787) 669-0374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB 675 PR Primary

Addresses

Primary practice location

HC 1 Box 6670
Carr 110 KM 5 HM 4
Moca, PR 00676-9529

Mailing address

HC 1 Box 6670
Carr 110 KM 5 HM 4
Moca, PR 00676-9529
Phone (787) 669-0374

Other names 1

  • FELICIANO MEDICAL TRANSPORT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130613000542 PR Part B Supplier - Ambulance Service Supplier 6305005919 Practice locations: Moca, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1154618304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6670",
            "address_2": "CARR 110 KM 5 HM 4",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769529",
            "telephone_number": "787-669-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6670",
            "address_2": "CARR 110 KM 5 HM 4",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769529",
            "telephone_number": "787-669-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN J FELICIANO-MUNIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "FELICIANO-MUNIZ",
        "authorized_official_first_name": "JENSEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-669-0374"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB 675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FELICIANO MEDICAL TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.