Active NPI
Frank Rivera, TEM
- Personal Emergency Response Attendant
- Jayuya, PR
National Provider Identifier
1205089968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- TCAMB162
- Practice address
- Bo. Collores Carretera 140 K.M. 8.5
Jayuya, PR 00664 - Phone
- (787) 828-2424
- Fax
- (787) 828-2424
- NPI assigned
- Oct 28, 2008
- Last updated
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | TCAMB162 | PR | Primary |
Addresses
Primary practice location
Bo. Collores Carretera 140 K.M. 8.5
Jayuya, PR 00664
Mailing address
P.O. Box 1233
Jayuya, PR 00664-1233
Phone (787) 828-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0059341 | Other | PR | MEDICARE NUMBER PROVIDER |
Other names 1
- Blue Star Ambulance Services
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 |
|---|---|---|---|
| TCAMB162 | PR | MD | Personal Emergency Response Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank Rivera | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1205089968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1233",
"city": "JAYUYA",
"state": "PR",
"postal_code": "006641233",
"telephone_number": "787-828-2424",
"fax_number": "787-828-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO. COLLORES CARRETERA 140 K.M. 8.5",
"city": "JAYUYA",
"state": "PR",
"postal_code": "00664",
"telephone_number": "787-828-2424",
"fax_number": "787-828-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "FRANK",
"name_prefix": "Mr.",
"credential": "TEM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "PR",
"license": "TCAMB162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER PROVIDER",
"identifier": "0059341",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BLUE STAR",
"last_name": "SERVICES",
"middle_name": "AMBULANCE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jayuya, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.