Juan Molina

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

P1444 Issued in PR

Practice address

Road 119 KM 29 Bo Hoyamala
San Sebastian, PR 00685-1452

Phone

(787) 214-9833

Fax

(787) 818-0429

NPI assigned

Sep 22, 2006

Last updated

Oct 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Molina Ambulance Service Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1205936069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851452",
            "telephone_number": "787-214-9833",
            "fax_number": "787-818-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 119 KM 29 BO HOYAMALA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851452",
            "telephone_number": "787-214-9833",
            "fax_number": "787-818-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "JUAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "P1444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMISION SERVICIO PUBLICO",
            "identifier": "TC AMB 422",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLINA",
            "last_name": "SERVICE",
            "middle_name": "AMBULANCE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Land Ambulance in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.