Active NPI
Jimmy Rosario
- Land Ambulance
- Morovis, PR
National Provider Identifier
1306027230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC AMB 494
- Practice address
- Carretera 155 Bo Franques
Sector Torrecillas
Morovis, PR 00687 - Phone
- (787) 375-0169
- NPI assigned
- Nov 20, 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 | TC AMB 494 | PR | Primary |
Addresses
Primary practice location
Carretera 155 Bo Franques
Sector Torrecillas
Morovis, PR 00687
Mailing address
PO Box 1368
Orocovis, PR 00720-1368
Phone (787) 375-0169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080305000602 | PR | Part B Supplier - Ambulance Service Supplier | 0749365484 | Practice locations: Orocovis, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC AMB 494 | PR | MD | Land Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1306027230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"city": "OROCOVIS",
"state": "PR",
"postal_code": "007201368",
"telephone_number": "787-375-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 155 BO FRANQUES",
"address_2": "SECTOR TORRECILLAS",
"city": "MOROVIS",
"state": "PR",
"postal_code": "00687",
"telephone_number": "787-375-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "JIMMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC AMB 494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morovis, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.