Active NPI
Jack Arenas
- Basic Emergency Medical Technician
- Barceloneta, PR
National Provider Identifier
1194905919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 1469
- Practice address
- HC 1 Box 6381-7
Barceloneta, PR 00617-9726 - Phone
- (787) 879-1700
- Fax
- (787) 878-1030
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 1469 | PR | Primary |
Addresses
Primary practice location
HC 1 Box 6381-7
Barceloneta, PR 00617-9726
Mailing address
HC 1 Box 6381-7
Barceloneta, PR 00617-9726
Phone (787) 879-1700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1469 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1194905919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 6381-7",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "006179726",
"telephone_number": "787-879-1700",
"fax_number": "787-878-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 1 BOX 6381-7",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "006179726",
"telephone_number": "787-879-1700",
"fax_number": "787-878-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENAS",
"first_name": "JACK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "PR",
"license": "1469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barceloneta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.