Active NPI
Edgar Cabrera Betancourt
- Non-emergency Medical Transport (VAN)
- Trujillo Alto, PR
National Provider Identifier
1376831248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 2011
- 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 |
|---|---|---|---|---|
| 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
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.