Organization Active NPI

Efrain Gonzalez Grajales

  • Land Ambulance
  • Aguadilla, PR
National Provider Identifier
1184843443
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
P1080 Issued in PR
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
70521OtherPRPREFERRED MEDICARE CHOICE

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.