Active NPI
Edwin Irizarry Rodriguez Sr.
- Land Ambulance
- Guaynabo, PR
National Provider Identifier
1376780155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC AMB 550
- Practice address
- Carr. 833 K.M 3.6 Ramal 174 Bo. Guaraguao
Guaynabo, PR 00971-9541 - Phone
- (787) 239-5463
- NPI assigned
- Jan 15, 2009
- 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 550 | PR | Primary |
Addresses
Primary practice location
Carr. 833 K.M 3.6 Ramal 174 Bo. Guaraguao
Guaynabo, PR 00971-9541
Mailing address
HC 1 Box 6168
Guaynabo, PR 00971-9541
Phone (787) 239-5463
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 |
|---|---|---|---|
| TC AMB 550 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwin Irizarry Rodriguez | Land Transport | Past | Accepting new patients |
| Med Code Ambulance | Land Transport | Past | Accepting new patients |
Organizations & group practices 2
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": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1376780155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 6168",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009719541",
"telephone_number": "787-239-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 833 K.M 3.6 RAMAL 174 BO. GUARAGUAO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009719541",
"telephone_number": "787-239-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY RODRIGUEZ",
"first_name": "EDWIN",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-15",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC AMB 550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
- Integrative Diabetic Research Center
- International Radiology Center & Medical Group, PSC
- International Radiology Center & Medical Group, PSC
- International Radiology Center & Medical PSC
- Ippa Salud Coop
- Teresa J. Irizarry-Caro, DMD
- Carol Y Irizarry-Robles, PHD
- Hector L. Irizarry, M.D.
- Jose Juan Irizarry
- Juan E Irizarry, 0855B
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.