Active NPI
Efrain Gonzalez Grajales
- Land Ambulance
- Aguadilla, PR
National Provider Identifier
1184843443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- P1080
- Legal business name
- EFRAIN GONZALEZ GRAJALES
- Practice address
- Rd 125 KM 0.4 Int
Camino Cordero, Bo Palmar
Aguadilla, PR 00603 - Phone
- (787) 460-9077
- Fax
- (787) 818-0429
- NPI assigned
- Apr 25, 2007
- Last updated
- Mar 26, 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
- Efrain Gonzalez
- Title
- Owner
- Phone
- (787) 460-9077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | P1080 | PR | Primary |
Addresses
Primary practice location
Rd 125 KM 0.4 Int
Camino Cordero, Bo Palmar
Aguadilla, PR 00603
Mailing address
HC 02 Box 21953
Aguadilla, PR 00603-1953
Phone (787) 460-9077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70521 | Other | PR | PREFERRED MEDICARE CHOICE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269561600000",
"number": "1184843443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 02 BOX 21953",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006031953",
"telephone_number": "787-460-9077",
"fax_number": "787-818-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RD 125 KM 0.4 INT",
"address_2": "CAMINO CORDERO, BO PALMAR",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-460-9077",
"fax_number": "787-818-0429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EFRAIN GONZALEZ GRAJALES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2010-03-26",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "EFRAIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-460-9077"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "P1080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "70521",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.