Active NPI
Jose A Velez Mediavilla
- Land Ambulance
- San Sebastian, PR
National Provider Identifier
1275664005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TCAMB 455
- Practice address
- Carr 119 KM 1.2
Bo Calabaza
San Sebastian, PR 00685-5215 - Phone
- (787) 280-2532
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TCAMB 455 | PR | Primary |
Addresses
Primary practice location
Carr 119 KM 1.2
Bo Calabaza
San Sebastian, PR 00685-5215
Mailing address
PO Box 5215
San Sebastian, PR 00685-5215
Phone (787) 280-2532
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275664005 | Other | PR | MCS REFORMA |
| 1275664005 | Other | PR | MCS CLASSICARE |
| 9962 | Other | PR | AMERICAN HEALTH MEDICARE |
| 50741 | Other | PR | PMC |
Other names 1
- Marielys Ambulance
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 |
|---|---|---|---|
| TCAMB 455 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose a Velez Mediavilla | Land Transport | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1275664005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5215",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006855215",
"telephone_number": "787-280-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 119 KM 1.2",
"address_2": "BO CALABAZA",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006855215",
"telephone_number": "787-280-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ MEDIAVILLA",
"first_name": "JOSE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TCAMB 455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS REFORMA",
"identifier": "1275664005",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS CLASSICARE",
"identifier": "1275664005",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH MEDICARE",
"identifier": "9962",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC",
"identifier": "50741",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIELYS",
"last_name": "AMBULANCE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.