Individual provider Active NPI

Edgar Cabrera Betancourt

  • Non-emergency Medical Transport (VAN)
  • Trujillo Alto, PR
National Provider Identifier
1376831248
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
Carretera 845 KM 5.8
Camino Pablo Ortiz
Trujillo Alto, PR 00976-3606
Phone
(787) 645-3030
Fax
(787) 761-5634
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

Carretera 845 KM 5.8
Camino Pablo Ortiz
Trujillo Alto, PR 00976-3606

Mailing address

220 Plaza Western Auto
412 Suite 101
Trujillo Alto, PR 00976-3606
Phone (787) 645-3030

Other names 1

  • Seniors Cita Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1376831248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PLAZA WESTERN AUTO",
            "address_2": "412 SUITE 101",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763606",
            "telephone_number": "787-645-3030",
            "fax_number": "787-761-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 845 KM 5.8",
            "address_2": "CAMINO PABLO ORTIZ",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763606",
            "telephone_number": "787-645-3030",
            "fax_number": "787-761-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA BETANCOURT",
        "first_name": "EDGAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SENIORS",
            "last_name": "CITA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.